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

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 He also challenges the use of outdated Tanner staging, recommending the use of regular pelvic ultrasounds to measure uterine volume so doctors can biologically titrate individual estrogen doses.The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 interrupting your life.GPs can also earn CPD hours.Earn Educational Activity (EA) CPD without sacrificing time with your family.Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA).Earn Reviewing Performance (RP) CPD without sacrificing time with your family.After each podcast, pause for a few minutes and identify and summarise 3 key points relevant to your scope of practice.Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients.If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation.Invest 10 minutes per podcast mentally reviewing your practice. When you listen to 6 podcasts per week, you have earned an hour of Reviewing Performance CPD you can self claim.Remember to document your learning!Earn Measuring Outcomes (MO) CPD without sacrificing time with your family.To claim MO, you need:A baseline measurementA change in practiceA re-measurementReflection on the outcome1. Identify a measurable change. After the podcast, ask:“What will I do differently on Monday?”Example:Start using a screening toolChange prescribing habitsIncrease documentation of a risk factor2. Measure your baseline (quick audit). Do a small, realistic auditExamples:Review last 10 patients with condition X% who had guideline-based management% with documented counselling3. Implement the change. Apply the idea from the podcast for 2–4 weeksCould be as simple as a checklist, template, or reminder4. Re-measure. Repeat the same audit:Same sample sizeSame criteria5. Reflect & Document:What changed?Did outcomes improve?What will you keep doing?If you enjoy learning through podcasts and video podcasts then you can also access thousands of premium podcasts with PowerPoint Slides at https://www.armchairmedical.tv/podcastsEnjoying the episode?⭐ Rate this episode➕ Follow the podcast💬 Share it with a colleague who’d value conference learning without the time awayDisclaimer: Content is for health professionals and general educational purposes only. It is not medical advice or a substitute for independent clinical judgement. Always consult current guidelines, product information and local protocols. Views expressed are those of the presenters and not necessarily ArmchairMedical. ArmchairMedical accepts no responsibility or liability for any loss or harm resulting from reliance on the information provided.Visit https://www.armchairmedical.tv/podcasts for more information.