Turner's syndrome and other forms of congenital hypogonadism impair quality of life and sexual function
Abstract
Objective We sought to assess the burden of Turner's syndrome (TS) and other congenital hypogonadisms (OCH) on quality of life (QOL) and sexual function.Study design An observational study was undertaken in a gynecological endocrinology unit of a teaching hospital. Three cohorts of women aged 20-50 years were compared: 26 TS patients, 21 women with OCH and wild-type karyotype, and 41 healthy age-matched women who were included as controls. All subjects filled out the Medical Outcome Study Short Form (SF-36) and the Female Sexual Function Index.Results TS subjects had significantly worse QOL scores in physical functioning (P = .026) and role physical functioning (P = .032) whereas OCH showed significantly worse scores in physical functioning (P = .027) and bodily pain (P = .025) compared to controls. In all, 80% of OCH and 50% of TS patients declared sexual activity. Sexually active TS patients had poorer arousal outcomes (P = .009) and OCH women showed significantly worse scores in arousal (P = .002), orgasm (P = .007), pain (P = .001), and Female Sexual Function Index total score (P = .004) compared with healthy controls. No differences between sexually active and inactive TS women were found in SF-36 scores, clinical characteristics, or anthropomorphic characteristics.Conclusion TS and OCH subjects presented impaired physical domains in QOL. Women with TS are less likely to be involved in sexual activity, arousal dysfunctions being their main symptom. Conversely, arousal, orgasm, pain, and total score were significantly affected in OCH subjects.
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Despite having normal sex drive/libido, individuals with TS are less likely to be married or in relationships compared to women of the same age.
“Despite having normal sex drive/libido, individuals with TS are less likely to be married or in relationships as compared to women of the same age.371,372,569,570”
From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [569]
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- Authors
- Ros, C., Alobid, I., Balasch, J., Mullol, J., & Castelo-Branco, C.
- Affiliations
- Hospital Clínic de Barcelona (ES)
- Universitat de Barcelona (ES)
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2013-06
- Volume
- 208
- Issue
- 6
- Pages
- 484.e1-484.e6
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W1969443369
- Cited by
- 47
- References
- 32
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 3 · 2023: 1 · 2022: 3 · 2021: 4 · 2020: 4 · 2019: 6 · 2018: 4 · 2017: 3 · 2016: 3 · 2015: 6 · 2014: 2 · 2013: 2
- FWCI
- 2.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sexual Differentiation and Disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Keywords
- Turner syndrome, congenital hypogonadism, quality of life, female sexual function, orgasm, sexual activity, physical function, bodily pain, karyotype
- MeSH terms
- Adult, Female, Humans, Hypogonadism, Middle Aged, Quality of Life, Surveys and Questionnaires, Sexual Behavior, Turner Syndrome, Cohort Studies, Sexual Dysfunctions, Psychological, Young Adult
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