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. Author manuscript; available in PMC: 2017 Oct 1.
Published in final edited form as: J Pediatr Adolesc Gynecol. 2015 Oct 17;29(5):409–416. doi: 10.1016/j.jpag.2015.10.011

Figure 1.

Figure 1

A proposed algorhythmic approach to decision making for fertility preservation in females diagnosed with Turner Syndrome. For prepubertal girls with sufficient ovarian reserve, expert experience dictates utility of serial serum AMH assessments to delay intervention to a postpubertal age so that oocyte cryopreservation can be considered. Serum AMH level of <2 ng/mL corresponds to levels in the lower quartile for girls aged 5–1345. In postpubertal girls, since the risk of follicle loss is extremely high and can proceed at a fast pace, we recommend fertility preservation regardless of the initial AMH.