Absence of or decrease in body movement; absent, missed, or irregular menstrual periods; stopping of menstrual bleeding; anxiety; nervousness; restlessness; bloated full feeling; bloody or cloudy urine; bloody nose; bruising; burning, crawling, itching, numbness, prickling, "pins and needles" , or tingling feelings; burning, dry or itching eyes; change in taste; chills; clumsiness or unsteadiness; coin-shaped lesions on skin; cold sweats; confusion; constipation; cramps; decreased awareness or responsiveness; degenerative disease of the joint; difficult, burning, or painful urination; difficulty in moving; discharge; excessive tearing of eye; discouragement; dizziness; drowsiness; dry mouth; excess air or gas in stomach or intestines; excessive muscle tone; muscle tension or tightness; muscle stiffness; feeling of constant movement of self or surroundings; feeling sad or empty; feeling of warmth or heat; ; flushing or redness of skin, especially on face and neck; frequent urge to urinate; headache; heavy bleeding; irregular heartbeats; irritability; joint pain; swollen joints; lack of appetite; lip smacking ; uncontrolled chewing movements; loss of hair; loss of interest or pleasure; loss of memory; problems with memory; mimicry of speech or movements; muscle aching or cramping; muscle pains or stiffness; mutism; negativism; normal menstrual bleeding occurring earlier, possibly lasting longer than expected; pain; passing gas; peculiar postures or movements, mannerisms or grimacing; puffing of cheeks; rapid or worm-like movements of tongue; redness, swelling, or soreness of tongue; severe sleepiness; shortness of breath; difficult or labored breathing; small red or purple spots on skin; stuffy nose; runny nose; sneezing; redness, pain, swelling of eye, eyelid, or inner lining of eyelid; seeing, hearing, or feeling things that are not there; sensation of spinning; shaking; shortness of breath; hyperventilation; skin rash; sweating; tightness in chest; tiredness; trouble concentrating; trouble in speaking; slurred speech; trouble sleeping; uncontrolled chewing movements; uncontrolled movements of arms and legs; unusual excitement, restlessness, or irritability; wheezing
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In addition to reproductive counseling, the transition to adult treatment of Turner syndrome includes management of atherogenic cardiovascular risk factors (., hypertension, diabetes, hyperlipidemia); calcium and vitamin D supplementation to prevent osteoporosis; and ongoing sex hormone therapy. A baseline dual energy x-ray absorptiometry scan to evaluate bone mineral density is recommended at the first adult visit. Adult women should continue to receive high-quality echocardiography or MRI of the aorta every five to 10 years to assess the need for surgical correction of severe aortic root dilatation (which occurs over time in 8 to 42 percent of patients).