What is the most appropriate next step in management?

A 17-year-old girl with Turner’s syndrome attended the clinic for review. She had been treated with growth hormone therapy for the previous 7 years, and had now reached her final adult height.

What is the most appropriate next step in management?
A . assess her bone density by DXA scan and continue growth hormone if bone mineral density is less than mean for age
B . continue growth hormone until 25 years old then reassess
C . start to reduce growth hormone therapy with a view to discontinuing in 2 years’ time
D . stop growth hormone therapy
E . withdraw growth hormone therapy for 3 months and evaluate growth hormone secretion

View Answer

Answer: D