Looking for answers? We can help.

A doctor or other health care provider’s learning is never done. It is therefore no surprise, given the vast range of serious medical conditions affecting human beings, that many medical professionals are perhaps only vaguely familiar with X and Y chromosome variations. So we thank you for visiting this site, and we hope it will be helpful to you. We trust you will find here a useful initial storehouse of information and personal narratives that will assist your further investigation into these conditions.

The sampling of frequently asked questions below are complemented by an entire page of them that address many other aspects of sex chromosome aneuploidies. Just click here.

In addition, AXYS has developed a Clinic and Research Consortium with sites around the U.S., staffed by experts who are available for consultation on any matters pertaining to X and Y chromosome variations. Click here for a list of clinics and contact information.

Frequently Asked Questions

Variant karyotypes of 47,XYY, are probably not survivable in most cases.  There have been a few case reports of karyotypes such as 48,XYYY, or 49,XXYYY.  These individuals have had quite severe disability.
A mosaic cell line means that a man has one cell line with 46 chromosomes, for instance, including one X and one Y chromosome, as well as a second cell line with one X and two Y chromosomes.  This genetic signature would be written as 46,XY/47,XYY.  The term “mosaic” is used because the cells with different numbers of chromosomes “nest” together in a mosaic pattern, much like tiles on a floor or wall.

Approximately 80 percent of those with 47,XXY have the 47,XXY genetic signature.  In the other 20 percent, there may be more X and Y chromosomes, with genetic signatures of 48,XXXY, 48,XXYY, and 49,XXXXY. Or, individuals may have a mix of cells within the body, some XY and others XXY, which is called mosaicism. Some individuals have a genetic signature of 46,XX, but have a tiny piece of the Y chromosome appended to one of the X chromosomes, giving them male genitalia and secondary sex characteristics, such as facial hair and male muscle development.47,XYY is incorrectly associated as a variant of 47,XXY, but it is actually a distinctly different sex chromosome aneuploidy. The most obvious difference is that 47, XYY males have none of the medical and infertility issues that individuals with 47,XXY may have, although there can be behavioral difficulties and learning disabilities associated with XYY.

In girls and women with extra X chromosomes, about 10 percent will have 48 or 49 chromosomes. The variation with 48 chromosomes is called Tetrasomy X while the variation with 49 is called Pentasomy X. With each additional X chromosome, there is usually a decrease in IQ of about 15 points, as well as additional disability in various areas. Girls and women with Tetrasomy and Pentasomy X often have cardiac anomalies as well as genitourinary malformations or other birth defects. Unlike females with Trisomy X, many are infertile or fail to go through puberty normally and require estrogen treatment. Intellectual disability is not unusual in this population. It is also possible for a female to have only one X chromosome. This is known as Turner syndrome. It occurs at a rate of approximately 1 in 2000 to 2500 live births; only approximately 1% of fetuses with Turner syndrome survive to term. Most miscarry. Turner syndrome has a very different presentation from the trisomy sex chromosome aneuploid conditions. Girls and women with Turner syndrome usually have short stature and are infertile. They can have cardiac and other health problems.


Brenda’s Story

“One thing I am rapidly learning is how much contradictory information there is about X and Y chromosome variations in the medical community. Interestingly, my baby has no developmental delays yet but he has more physical characteristics than most of the babies I have seen on the AXYS website. Clenched fists, deformed ear lobes… slanted eyes…one drooped eyelid…But he is a little ball of personality!”




Latest News and Research

Emory’s Sharron Close Started Clinic for Patients with X & Y Chromosome Variations

AXYS Editor’s Note: AXYS was excited to see this article in the Atlanta Business Chronicle. Dr. Close serves as the chair of the AXYS Professional Advisory Committee and her Atlanta clinic was one of the [...]

Vocal & Gestural Productions of 24-month-old Children with Sex Chromosome Trisomies

Article Title: Vocal and gestural productions of 24-month-old children with sex chromosome trisomies Authors: Laura Zampini, Lara Draghi, Gaia Silibello, Francesca Dall’Ara, Claudia Rigamonti,Chiara Suttora, Paola Zanchi, Nicoletta Salerni, Faustina Lalatta, and Paola Vizziello Date [...]

Klinefelter Syndrome: More Than Hypogonadism

Article Title: Klinefelter syndrome: more than hypogonadism Authors: George A. Kanakis and Eberhard Nieschlag Date of Publication: February 4, 2018 Read more

Fertility Achieved Through In Vitro Fertilization in a Male Patient with 48,XXYY Syndrome

Article Title: Fertility achieved through in vitro fertilization in a male patient with 48,XXYY syndrome Authors: De‑Feng Liu, Lian‑Ming Zhao, Kai Hong, Jia‑Ming Mao, Yu‑Zhuo Yang, Zhe Zhang, Hui Jiang Date of Publication: October 3, [...]

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