<prompt> 18-year-old girl with primary amenorrhea having a karyotype of 45X0 presents with infantile uterus. What should be done next?Hormone replacement therapy HRT to induce pubertyVaginoplastyClitoroplastyBilateral gonadectomy  <response>: ANS. AThe primary treatments for all girls and women with Turners syndrome include hormone therapies growth hormone and estrogen.It is important to identify a Y chromosome because affected individuals are at a risk of gonadoblastoma 20 to 30. Only in such cases we need to do gonadectomy.Hence, the answer for this question is HRT to induce Puberty.Evaluation of primary amenorrheaSecondary sexual characters Normal MRKH AIS Transverse vaginal septum Imperforate hymen Absent Turners syndrome Kallman syndrome Swyers syndromeAbbreviation: MRKH, Mayer-Rokitansky-Kuster-Hauser; AIS, Androgen insensitivity syndrome 