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Gynaecology & Obstetrics Sex Intersexuality 847acb8a

18-year-old girl with primary amenorrhea having a karyotype of 45X0 presents with infantile uterus. What should be done next?

A
Hormone replacement therapy (HRT) to induce puberty
B
Vaginoplasty
C
Clitoroplasty
D
Bilateral gonadectomy
High-Yield Explanation
ANS. AThe primary treatments for all girls and women with Turner's syndrome include hormone therapies (growth hormone and estrogen).It is important to identify a Y chromosome because affected individuals are at a risk of gonadoblastoma (20 to 30%). Only in such cases we need to do gonadectomy.Hence, the answer for this question is HRT to induce Puberty.Evaluation of primary amenorrheaSecondary sexual characters|| |Normal* MRKH* AIS* Transverse vaginal septum* Imperforate hymen Absent* Turner's syndrome* Kallman syndrome* Swyer's syndromeAbbreviation: MRKH, Mayer-Rokitansky-Kuster-Hauser; AIS, Androgen insensitivity syndrome

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