Major opinion about motherhood among women with Turner syndrome.

IF 1 Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2025-03-12 DOI:10.5603/gpl.102148
Malgorzata Wiecek, Wiktoria Kempinska, Aneta Gawlik-Starzyk
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Abstract

Objectives: Turner syndrome (TS) is associated with ovarian dysgenesis leading to infertility in most of the cases. There are some options for fertility preservation (FP) in patients with sufficient follicle numbers. The most recently studied are oocyte and ovarian tissue preservation. Due to premature ovarian failure among TS girls, the procedure should be performed as early as possible. The aim of this study is to gain the opinions of women with TS about motherhood based on the web-survey.

Material and methods: The survey, hosted on SurveyMonkey.com, targeted women over 18 years with TS. It comprised 16 single-choice questions, ensuring anonymity and consent for data usage.

Results: The answers of a total of 152 women were analyzed. When asked if they had discussed motherhood options with their physicians, 72/152 of the participants responded negatively. Asked about the desire of maternity, 85/152 expressed a desire to have children. 5/152 had biological children from spontaneous pregnancies, 5/152 had biological children through oocyte donation, 1/152 through embryo donation, and 12/152 had adopted children. 75/150 respondents answered yes to the question of whether they desired to use ovarian tissues if they had been preserved during adolescence.

Conclusions: The findings suggest that a significant number of women with TS who aspire to become mothers would be inclined to use preserved cells if this option were available. This underscores the necessity for further exploration of FP techniques for individuals with TS.

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特纳综合症妇女对母性的主要看法。
目的:特纳综合征(TS)与卵巢发育不良有关,导致大多数情况下不孕。对于卵泡数量充足的患者,有一些生育保留(FP)的选择。最近研究的是卵母细胞和卵巢组织的保存。由于TS女孩卵巢早衰,手术应尽早进行。本研究的目的是在网络调查的基础上,了解TS女性对母性的看法。材料和方法:该调查由SurveyMonkey.com网站主办,目标是18岁以上的TS女性,包括16个单选题,确保匿名和同意数据使用。结果:对152名女性的回答进行了分析。当被问及是否与医生讨论过做母亲的选择时,72/152的参与者给出了否定的回答。当被问及生育的愿望时,有85/152的人表示想要孩子。5/152人为自然妊娠亲生子女,5/152人为卵子捐赠亲生子女,1/152人为胚胎捐赠亲生子女,12/152人为收养子女。如果卵巢组织在青春期被保存,他们是否希望使用卵巢组织,150名受访者中有75人回答是。结论:研究结果表明,如果有这种选择,很多渴望成为母亲的TS女性会倾向于使用保存的细胞。这强调了进一步探索针对TS患者的FP技术的必要性。
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