Reproductive endocrinology

The Process of Pubertal Induction in Girls with Turner Syndrome: From Patients’ and Family’s Perspective

Horm Res PaediatrPublished Cross-sectional study

Authors' conclusion

The age to initiate puberty pharmacologically and the types of estrogen preparations used for this purpose varied across different age groups, however, with a tendency to mimic physiology and recommended protocols. The timing and mode of PI should aim to maximize intended effects, reduce risks of side effects and be simple to use. The aim should be to meet patients' expectations to ensure that they are not discouraged from taking long-term E-PRT.

Study context

Population
Patients with Turner syndrome (TS) and their caregivers
Participants
109 survey respondents
Outcome
Process of pubertal induction, satisfaction with breast development and side effects of therapy from patients' and families' perspective
Methodological detailsanonymous survey, 15-question, recruited via social media
  • Anonymous survey
  • 15-question
  • Recruited via social media

Main finding

As reported in the abstract

Pubertal induction commenced between ages 10 and 16
70.6%
Oral E2 most frequently offered
38.5%
Oral E2 recommended by respondents
33.9%
Most important consideration in choosing a preparation: ease of use
41.3%
Women satisfied with breast development
58.7%

Observational data: associations, not effects.

Safety

Participants reporting no side effects of hormonal therapy
41.3%

Original publication

The Process of Pubertal Induction in Girls with Turner Syndrome: From Patients’ and Family’s Perspective. Horm Res Paediatr. Published 17 October 2025. doi:10.1159/000548971

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