# Turner Syndrome Session 3. Beyond Growth: Adult Phenotypes, Liver Health, and HRT in Turner Syndrome

Page: https://stenobird.com/podcast/general-practice-clinical-sessions-podcast-7705659/turner-syndrome-session-3-beyond-growth-adult-phenotypes-liver-health-and-hrt-in-turner-syndrome
Text version: https://stenobird.com/podcast/general-practice-clinical-sessions-podcast-7705659/turner-syndrome-session-3-beyond-growth-adult-phenotypes-liver-health-and-hrt-in-turner-syndrome.md
Podcast: [General Practice Clinical Sessions Podcast](https://stenobird.com/podcast/general-practice-clinical-sessions-podcast-7705659)
Published: 2026-04-19T18:00:00+00:00
Episode link: https://general-practice.captivate.fm/episode/turner-syndrome-session-2-beyond-growth-adult-phenotypes-liver-health-and-hrt-in-turner-syndrome
Audio file: https://episodes.captivate.fm/episode/edc3023c-9888-4118-a092-5cdd7b4e04d8.mp3
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Duration seconds: 3236

## Resource

In this General Practice podcast, we welcome Professor Gerry Conway, a leading UK-based endocrinologist, to explore the long-term adult care of Turner syndrome. Moving beyond pediatric growth, Professor Conway dives into crucial updates on managing the "adult phenotype," specifically focusing on liver health, comorbidities, and hormone replacement therapy (HRT). A major highlight of this episode is the call to rethink HRT protocols. Professor Conway argues against conservative pediatric guidelines, advocating for estrogen therapy to begin as early as 9 or 10 years old to mimic normal physiology, which ensures optimal brain, bone, and uterine development. He also challenges the use of outdated Tanner staging, recommending the use of regular pelvic ultrasounds to measure uterine volume so doctors can biologically titrate individual estrogen doses. The episode also tackles the emerging "hot topic" of liver health. With a high prevalence of elevated liver enzymes and the risk of silent progression to cirrhosis, Professor Conway urges endocrinologists to proactively monitor liver function using Fib-4 scores and FibroScans. He also highlights the promising potential of using GLP-1 agonists to treat metabolic dysfunction and reverse fatty liver disease before fibrosis sets in ------------------------------------------------------------------------------- If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you. Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog. It's the same education, without interrupti…

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