Chromosomes seen in Klinefelters
Image Description
These are the chromosomes seen in K.
Klinefelter syndrome is a genetic condition that results when a boy is born with an extra copy of the X chromosome. Klinefelter syndrome is a genetic condition affecting males, and it often isn't diagnosed until adulthood.
Males born with Klinefelter syndrome may have low testosterone and reduced muscle mass, facial hair, and body hair. Most males with this condition produce little or no sperm.
Klinefelter syndrome may adversely affect testicular growth, resulting in smaller than normal testicles, which can lead to lower production of testosterone. The syndrome may also cause reduced muscle mass, reduced body and facial hair, and enlarged breast tissue. The effects of Klinefelter syndrome vary, and not everyone has the same signs and symptoms.
Most men with Klinefelter syndrome produce little or no sperm, but assisted reproductive procedures may make it possible for some men with Klinefelter syndrome to father children.
Products & Services
A Book: Mayo Clinic Family Health Book
Show more products from Mayo Clinic
Symptoms
Signs and symptoms of Klinefelter syndrome vary widely among males with the disorder. Many boys with Klinefelter syndrome show few or only mild signs. The condition may go undiagnosed until adulthood or it may never be diagnosed. For others, the condition has a noticeable effect on growth or appearance.
Signs and symptoms of Klinefelter syndrome also vary by age.
Babies
Signs and symptoms may include:
Weak muscles
Slow motor development — taking longer than average to sit up, crawl and walk
Delay in speaking
Problems at birth, such as testicles that haven't descended into the scrotum
Boys and teenagers
Signs and symptoms may include:
Taller than average stature
Longer legs, shorter torso and broader hips compared with other boys
Absent, delayed or incomplete puberty
After puberty, less muscle and less facial and body hair compared with other teens
Small, firm testicles
Small penis
Enlarged breast tissue (gynecomastia)
Weak bones
Low energy levels
Tendency to be shy and sensitive
Difficulty expressing thoughts and feelings or socializing
Problems with reading, writing, spelling or math
Men
Signs and symptoms may include:
Low sperm count or no sperm
Small testicles and penis
Low sex drive
Taller than average height
Weak bones
Decreased facial and body hair
Less muscular compared with other men
Enlarged breast tissue
Increased belly fat
When to see a doctor
See a doctor if you or your son has:
Slow development during infancy or boyhood. Delays in growth and development can be the first sign of a number of conditions that need treatment — including Klinefelter syndrome. Though some variation in physical and mental development is normal, it's best to check with a doctor if you have any concerns.
Male infertility. Many men with Klinefelter syndrome aren't diagnosed with infertility until they realize they're unable to father a child.
Request an appointment
From Mayo Clinic to your inbox
Sign up for free and stay up to date on research advancements, health tips, current health topics, and expertise on managing health. Click here for an email preview.
Enter your email
EmailLearn more about Mayo Clinic’s use of data.
Subscribe!
Causes
Klinefelter syndrome occurs as a result of a random error that causes a male to be born with an extra sex chromosome. It isn't an inherited condition.
Humans have 46 chromosomes, including two sex chromosomes that determine a person's sex. Females have two X sex chromosomes (XX). Males have an X and a Y sex chromosome (XY).
Klinefelter syndrome can be caused by:
One extra copy of the X chromosome in each cell (XXY), the most common cause
An extra X chromosome in some of the cells (mosaic Klinefelter syndrome), with fewer symptoms
More than one extra copy of the X chromosome, which is rare and results in a severe form
Extra copies of genes on the X chromosome can interfere with male sexual development and fertility.
Risk factors
Klinefelter syndrome stems from a random genetic event. The risk of Klinefelter syndrome isn't increased by anything a parent does or doesn't do. For older mothers, the risk is higher but only slightly.
Complications
Klinefelter syndrome may increase the risk of:
Anxiety and depression
Social, emotional and behavioral problems, such as low self-esteem, emotional immaturity and impulsiveness
Infertility and problems with sexual function
Weak bones (osteoporosis)
Heart and blood vessel disease
Breast cancer and certain other cancers
Lung disease
Metabolic syndrome, which includes type 2 diabetes, high blood pressure (hypertension), and high cholesterol and triglycerides (hyperlipidemia)
Autoimmune disorders such as lupus and rheumatoid arthritis
Tooth and oral problems that make dental cavities more likely
Autism spectrum disorder
A number of complications caused by Klinefelter syndrome are related to low testosterone (hypogonadism). Testosterone replacement therapy reduces the risk of certain health problems, especially when therapy is started at the beginning of puberty.
By Mayo Clinic Staff
Request an appointment
Diagnosis & treatment
Sept. 21, 2019
Print
Show references
Related
Associated Procedures
Genetic testing
Psychotherapy
Products & Services
A Book: Mayo Clinic Family Health Book
Show more products and services from Mayo Clinic
Advertisement
Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.
Advertising & Sponsorship
PolicyOpportunitiesAd Choices
Mayo Clinic Press
Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press.
Mayo Clinic on Incontinence - Mayo Clinic PressMayo Clinic on Incontinence
The Essential Diabetes Book - Mayo Clinic PressThe Essential Diabetes Book
Mayo Clinic on Hearing and Balance - Mayo Clinic PressMayo Clinic on Hearing and Balance
FREE Mayo Clinic Diet Assessment - Mayo Clinic PressFREE Mayo Clinic Diet Assessment
Mayo Clinic Health Letter - FREE book - Mayo Clinic PressMayo Clinic Health Letter - FREE book
CON-20194212
Patient Care & Health Information
Diseases & Conditions
Klinefelter syndrome
5X Challenge
Thanks to generous benefactors, your gift today can have 5X the impact to advance AI innovation at Mayo Clinic.
Give Today
Find a doctor
Explore careers
Sign up for free e-newsletters
About Mayo Clinic
About this Site
Contact Us
Locations
Health Information Policy
Medicare Accountable Care Organization (ACO)
Media Requests
News Network
Price Transparency
Medical Professionals
AskMayoExpert
Clinical Trials
Mayo Clinic Alumni Association
Refer a Patient
Businesses