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- Title
Reproductive outcomes after preimplantation genetic testing in mosaic Turner syndrome: a retrospective cohort study of 100 cycles.
- Authors
Liao, Jingnan; Luo, Keli; Cheng, Dehua; Xie, Pingyuan; Tan, Yueqiu; Hu, Liang; Lu, Guangxiu; Gong, Fei; Lin, Ge
- Abstract
Purpose: The purpose of this study is to explore the reproductive outcomes of women with Turner syndrome (TS) in preimplantation genetic testing (PGT) cycles. Methods: A retrospective study of 100 controlled ovarian stimulating cycles, 68 TS (sixty-four mosaic Turner syndrome (MTS) and four pure Turner syndrome (PTS)) women underwent PGT was conducted from 2013 to 2018. Results: Embryo X chromosome abnormal rates of TS women were significantly higher than women with normal karyotype (7.04 vs 1.61%, P<0.01). Cumulative live birth rates (CLBR) after PGT-NGS treatment were lower in TS than control (31.15 vs 45.59%, P<0.05). Clinical pregnancy rates per transfer (CPR), miscarriage rates (MR) and live birth rates per transfer (LBR) remained comparable between TS and control group. Reproductive outcomes (X chromosome abnormal rates, CPR, MR, LBR and CLBR) among low (<10%), medium (10–50%) and high (>50%) level 45,X mosaicism groups were not statistically different. Conclusions: To avoid high risk of embryo X chromosome abnormalities, prenatal or preimplantation genetic testing should be recommended to mosaic or pure TS patients.
- Subjects
TURNER'S syndrome; GENETIC testing; X chromosome abnormalities; REPRODUCTIVE health; PRENATAL genetic testing; HUMAN in vitro fertilization
- Publication
Journal of Assisted Reproduction & Genetics, 2021, Vol 38, Issue 5, p1247
- ISSN
1058-0468
- Publication type
Article
- DOI
10.1007/s10815-021-02127-y