• After assessing a patient’s strengths and weaknesses, an individualized syndrome specific approach should be followed which deals with the following issues: ^[1]
  • Dealing with chronic issues such as cardiovascular disease, hearing loss and infertility with adaptive skills.
  • Individual and group social skills training which will help the patient in self-monitoring and recognition one’s facial/body habitus.
  • Stress management to decrease anxiety and mood disturbances.
  • Efforts to improve self esteem and self perception.
  • Strategies to compensate for cognitive weakness- using self talk to pay attention, focusing on one task, instead of several tasks at one time, paraphrasing what others said to ensure comprehension.
  • ADHD medication, use of verbal mnemonics, classrooms modeled to provide occupational and physical training may help in academic achievement^[2]
• These strategies are aimed for compensating the supposed deficits in the fronto-parietal pathways that are responsible for the disconnect between visuospatial and executive functioning during complicated tasks.
• Pediatricians may also refer to Turner syndrome support groups or arrange for meetings with parents of Turner syndrome patients. ^[3]

• Treatment approaches depend on the presence or absence of an adequate ovarian reserve.
  • This is determined by serum gonadotrophin releasing hormone, serum LH levels, serum FSH levels, biopsy of ovarian tissue (to evaluate ovarian karyotype) and serum anti Mullerian hormone levels.
• In vitro fertilization with donor oocytes and embryo transfer is the most common treatment modality.
• Ovarian tissue cryobanking and immature oocyte collection followed by fertilization of matured oocytes is another promising approach. ^[4]

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