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TS is a multi\u2010system disorder with significant endocrine, cardiovascular and reproductive impacts. Accelerated ovarian follicular loss leads to primary amenorrhoea or premature ovarian insufficiency and infertility. Early diagnosis and counselling regarding hormone replacement therapy and future reproductive capacity, including fertility preservation, are essential to improve reproductive outcomes. Pubertal induction or estrogen replacement is usually required to optimise long\u2010term health outcomes; however, initiation may be delayed due to delayed diagnosis. Spontaneous pregnancy occurs in a small number of women; however, many require donor oocytes and assisted reproductive technology to achieve a pregnancy. Pregnancy is a high risk especially when associated with congenital heart disease. Prepregnancy counselling by the multidisciplinary team (MDT) to identify contraindications and optimise pre\u2010existing health issues is essential. Pregnancy management should be led by a maternal\u2010fetal medicine unit with input from the MDT. This review examines reproductive health outcomes in women with TS and how best to manage them to reduce health risks and improve maternal and neonatal outcomes.<\/jats:p>","DOI":"10.1002\/pd.6261","type":"journal-article","created":{"date-parts":[[2022,11,7]],"date-time":"2022-11-07T00:54:41Z","timestamp":1667782481000},"page":"261-271","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Reproductive health in Turner syndrome: A narrative review"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3205-0400","authenticated-orcid":false,"given":"Carole\u2010Anne","family":"Whigham","sequence":"first","affiliation":[{"name":"Women's and Newborn Program Monash Health  Clayton Victoria Australia"},{"name":"Department of Obstetrics and Gynaecology Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beverley","family":"Vollenhoven","sequence":"additional","affiliation":[{"name":"Women's and Newborn Program Monash Health  Clayton Victoria Australia"},{"name":"Department of Obstetrics and Gynaecology Monash University  Clayton Victoria Australia"},{"name":"Monash IVF  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda J.","family":"Vincent","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Monash Health  Clayton Victoria Australia"},{"name":"Monash Centre for Health Research and Implementation School of Public Health and Preventive Medicine Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,12]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.5935\/1676\u20102444.20180065"},{"key":"e_1_2_14_3_1","doi-asserted-by":"crossref","unstructured":"DonadilleB BernardV Christin\u2010MaitreS.How can we make pregnancy safe for women with Turner syndrome?In:Paper presented at: American Journal of Medical Genetics Part C: Seminars in Medical Genetics;2019.","DOI":"10.1002\/ajmg.c.31682"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1530\/eje\u201017\u20100430"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/7.6.603"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2017\u201002183"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2006\u20100558"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13023\u2010018\u20100976\u20102"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.14791"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.12.033"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1373\/clinchem.2013.215145"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1159\/000518002"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.5529"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102265.2007.02807.x"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2213\u20108587(13)70153\u20100"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.a.62459"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2017.1350841"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1159\/000502902"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41574\u2010019\u20100224\u20104"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2018\u201002137"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dew027"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1210\/clinem\/dgz039"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1530\/acta.0.1290188"},{"issue":"3","key":"e_1_2_14_24_1","article-title":"To freeze or not to freeze? 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