Gonadal dysgenesis is a rare genetic disorder that affects the development of reproductive cells in individuals. It is caused by mutations in genes that are involved in the development of the gonads, which are the reproductive organs responsible for producing hormones and eggs or sperm. People with this disorder usually have an abnormal or missing gonad and have low levels of their sex hormones. The most common type of gonadal dysgenesis is Turner syndrome, which affects only females. Other types of gonadal dysgenesis include Swyer syndrome, 46,XY gonadal dysgenesis, and 46,XX gonadal dysgenesis. Signs and symptoms of gonadal dysgenesis vary depending on the type and severity of the disorder. Generally, individuals may experience delayed puberty, infertility, and/or have features associated with their chromosomal abnormality. Other common symptoms include short stature, webbed neck, low hairline, broad chest, and/or ear infections. Diagnosis of gonadal dysgenesis is typically made through a combination of physical examination, hormone tests, genetic testing, and imaging studies. Treatment of gonadal dysgenesis may include hormone replacement therapy, fertility treatments, and/or counseling. Gonadal dysgenesis is a rare disorder and can be difficult to diagnose and manage. With proper diagnosis and treatment, individuals can live healthy and productive lives.
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Nicoletta Di Simone, Humanitas University Milan, Italy
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