Reproductive endocrinology

Hormone Replacement Therapy after Pubertal Induction in Adolescents and Young Adults with Turner Syndrome: A Survey Study

Horm Res PaediatrPublished Cross-sectional survey study

Authors' conclusion

Although most endocrinologists and gynecologists report confidence in prescribing HRT to AYA with TS after pubertal induction, there are clear differences in provider preferences based on specialty and higher volume of patients with TS in their practice. Additional studies on comparative effectiveness of the HRT regimens and evidence-based guidelines are necessary for AYA with TS.

Study context

Population
Email listserv members of North American Society for Pediatric and Adolescent Gynecology (NASPAG) and the Pediatric Endocrine Society in North America; Hormone replacement therapy (HRT) preferences for primary ovarian insufficiency (POI) after completed pubertal induction in and young adults (AYA) with turner syndrome (TS)
Participants
155 providers
Exposure
Gynecologists vs endocrinologists
Outcome
Current HRT practice patterns (preferred HRT) after pubertal induction in AYA with TS
Methodological details19-question survey, multinomial logistic regression
  • 19-question survey
  • Multinomial logistic regression

Main finding

As reported in the abstract

HRT practice patterns
Reported confidence in prescribing HRT
87% (135)
Aware of published guidelines
51%, 79
Specialty associated with preferred HRT
p = 0.032
No. of patients with TS seen every 3 months associated with preferred HRT
p = 0.024

Observational data: associations, not effects.

Original publication

Hormone Replacement Therapy after Pubertal Induction in Adolescents and Young Adults with Turner Syndrome: A Survey Study. Horm Res Paediatr. Published 24 April 2023. doi:10.1159/000530724

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