Reproductive endocrinology

Patterns, Perceptions, and Gaps in Estrogen Replacement Therapies among Adolescents and Adults with Turner Syndrome: Insights from the UTHealth Houston/Turner Syndrome Society of the United States Research Registry

Horm Res PaediatrPublished Cross-sectional survey study

Authors' conclusion

This survey identified important barriers to sustained estrogen use, including side effects, misconceptions regarding the need for therapy, and limited awareness of its health benefits.

Study context

Population
Adolescents and adults with Turner syndrome (TS) in the UTHealth Houston/Turner Syndrome Society of the United States Research Registry; mean age 39.3 years (SD 16.9)
Participants
169 survey respondents
Outcome
Estrogen use patterns
Methodological detailsregistry-based, REDCap survey, Survey distributed July–September 2024
  • Registry-based
  • REDCap survey
  • Survey distributed July–September 2024

Main finding

As reported in the abstract

Ever used estrogen
86%
Still taking estrogen at time of survey
65%
Discontinued estrogen and younger than 50 years
One-third
Interruption of estrogen use at least once over last 10 years
27%

Observational data: associations, not effects.

Further findings

Perceived need for estrogen therapy

Did not believe they needed estrogen therapy
More than one-third
Of respondents younger than 50 years, did not believe they needed estrogen
one in five
Reason: perceived lack of health benefit
16%
Reason: not sexually active
19%
Reason: concerns about cancer risk
5%
Reason: limited awareness of benefits of estrogen therapy
16%

Self-reported mental health diagnoses

Any mental health diagnosis
47%
Anxiety
80%
Depression
69%

Safety

Side effects among current estrogen users

Endorsed significant side effects (breakthrough bleeding, anxiety, depression, mood swings, brain fog, memory or learning difficulties)
One in five

Original publication

Patterns, Perceptions, and Gaps in Estrogen Replacement Therapies among Adolescents and Adults with Turner Syndrome: Insights from the UTHealth Houston/Turner Syndrome Society of the United States Research Registry. Horm Res Paediatr. Published 10 September 2026. doi:10.1159/hrp/adaag027

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