About Turner Syndrome
Turner syndrome (TS) results from complete or partial absence of an X chromosome in phenotypic females, with karyotypes ranging from complete 45,X monosomy (occurring in ~50-60% of patients) to various mosaic forms (45,X/46,XX and others in ~40-50%).
The condition presents with short stature (average adult height approximately 4'8", approximately 7-10 cm shorter than age-matched female population), gonadal dysgenesis leading to streak gonads, primary amenorrhea, and infertility. Distinctive somatic features include webbed neck, shield chest, widely spaced nipples, and characteristic facial features including micrognathia and low-set ears. Cardiac involvement (~30-40% of patients) includes bicuspid aortic valve (occurs in ~30%), aortic stenosis, coarctation of the aorta (5-10%), and significantly increased aortic dissection risk in adulthood (100-200 fold higher than general population).
Renal abnormalities occur in ~30%, including renal agenesis, horseshoe kidney, and duplicated collecting systems. Hearing loss, thyroid autoimmune disease, and type 2 diabetes have increased prevalence. Cognitive function and lifespan are usually normal with appropriate management.
Common Symptoms of Turner Syndrome
Recognizing the signs of Turner Syndrome early can lead to faster diagnosis and better outcomes. Symptoms may vary in severity from person to person. If you or a loved one are experiencing any of the following, consider speaking with a specialist.
- Short stature
- Ovarian failure and amenorrhea
- Infertility
- Cardiac abnormalities (bicuspid aortic valve, coarctation)
- Renal anomalies
- Learning and social difficulties in some patients
Who Turner Syndrome Affects
TS affects females exclusively (by definition), occurring in approximately 1 in 2,000-3,000 live female births. The classic 45,X karyotype is found in approximately 50-60% of patients, while mosaic forms (particularly 45,X/46,XX) occur in approximately 40-50%. Higher-grade mosaicism (involving other cell lines) occurs less frequently.
The condition can be detected prenatally through karyotyping or chromosomal microarray during genetic testing for other indications or incidentally during prenatal ultrasound when typical features are noted.
Postnatal presentation varies from short stature detected in childhood to primary amenorrhea and infertility in adolescence. No ethnic, geographic, or population predisposition has been identified; the condition occurs equally across all human populations. It occurs as a sporadic chromosomal abnormality; familial clustering is extremely rare.
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Trusted Turner Syndrome Resources
Reputable organizations and medical references for learning more about Turner Syndrome, including disease registries, foundation resources, and clinical guidelines.