Patient's question:
After the child finishes the postpartum period, their weight is 3.1 kg, and their height is 52.5 cm. The child's height and weight have consistently been in the lower-middle and lower ranges. Their intellectual level is also low. They have been tested for thyroid issues, and the results were normal.Doctor's answer:
Turner syndrome with congenital ovarian dysgenesis, unable to undergo puberty, and thus unable to conceive. In addition to treating short stature, the most important treatment is long-term artificial replacement of estrogen and progesterone to simulate the menstrual cycle, promote the development of secondary sexual characteristics, and improve quality of life. In the future, sexual activity may be possible, but the primary goal of replacement therapy is to prevent osteoporosis and the risk of potential early-onset cardiovascular disease. Elevated alkaline phosphatase (266 units) is associated with active bone metabolism. In other words, due to osteoporosis or increased bone metabolic activity following growth hormone injections, leading to height growth, alkaline phosphatase levels rise.