A young female with swyer syndrome presents to you with infertility, which of the following you will advice for the patient –

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A young female with swyer syndrome presents to you with infertility, which of the following you will advice for the patient –

[A]. IVF with donor oocyte

[B]. IVF with surrogate mother

[C]. Gonedectomy not indicatied

[D]. Patients can reproduce no need assistance



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[A]. IVF with donor oocyte

Explanation :-

  • Swyer syndrome or XY gonadal dysgenesis, is a type of hypogonadismi in a person whose karyotype is 46 XY.
  • The person is externally female with streak gonads, and left untreated, will not experience puberty.
  • Mutations of SRY account for many cases of Swyer syndrome.
  • A baby who is externally a girl is born and is normal in all anatomic respects except that the child has nonfunctional streak gonads instead of ovaries or testes.
  • Due to the inability of the streak gonads to produce sex hormones (both estrogens and androgens), most of the secondary sex characteristics do not develop
  • The consequences of streak gonads to a person with Swyer syndrome:
    • Gonads cannot make estrogen, so the breasts will not develop and the uterus will not grow and menstruate until estrogen is administered. This is often given transdermally.
    • Gonads cannot make progesterone, so menstrual periods will not be predictable until progestin is administered, usually as a pill.
    • Gonads cannot produce eggs so conceiving children naturally is not possible. A woman with a uterus and ovaries but without female gamete is able to become pregnant by implantation of another woman’s fertilized egg (embryo transfer).
  • Streak gonads with Y chromosome-containing cells have a high likelihood of developing cancer, especially gonadoblastoma. Streak gonads are usually removed within a year or so of diagnosis since the cancer can begin during infancy.

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