Isolated follicle stimulating hormone deficiency

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ORPHA:52901OMIM:229070E23.6
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Overview

Isolated follicle stimulating hormone (FSH) deficiency is a rare hormonal disorder where the body does not produce enough of a hormone called FSH. FSH is made by the pituitary gland, a small gland at the base of the brain, and it plays a key role in sexual development and reproduction. Without enough FSH, the body cannot properly develop the reproductive system or maintain fertility. This condition is sometimes called isolated FSH deficiency or selective FSH deficiency. In women, low FSH leads to problems with the menstrual cycle, often causing periods to stop or never start properly. The ovaries may not develop eggs normally, making it very difficult or impossible to become pregnant without treatment. In men, FSH deficiency causes the testes to produce little or no sperm, leading to infertility. Some men may also notice that their testes are smaller than usual. The good news is that this condition can often be treated effectively with hormone replacement therapy. Doctors can prescribe FSH in the form of injections to help restore reproductive function. With the right treatment, many people with this condition are able to have children. Regular follow-up with a hormone specialist is important to manage symptoms and monitor overall health.

Also known as:

Key symptoms:

Absent or very irregular menstrual periods in womenInability to get pregnant or father a child (infertility)Little or no sperm production in menSmaller than normal testes in menDelayed puberty or incomplete sexual developmentLow or absent sex driveUnderdeveloped ovaries in womenFailure of eggs to mature normallyNormal levels of other pituitary hormones (LH, TSH, etc.)

Clinical phenotype terms (22)— hover any for plain English
Female hypogonadismHP:0000134Gonadotropin deficiencyHP:0008213Sparse axillary hairHP:0002215Sparse pubic hairHP:0002225Decreased serum estradiolHP:0008214Delayed menarcheHP:0012569Decreased serum testosterone concentrationHP:0040171Testicular atrophyHP:0000029OligozoospermiaHP:0000798Hyperplasia of the Leydig cellsHP:0010791Bilateral breast hypoplasiaHP:0012814Abnormal sperm morphologyHP:0012864
Inheritance

Autosomal recessive

Passed on when both parents carry the same gene change; often skips generations

Age of Onset

Variable

Can begin at different ages, from infancy through adulthood

Orphanet ↗OMIM ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Isolated follicle stimulating hormone deficiency.

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No actively recruiting trials found for Isolated follicle stimulating hormone deficiency at this time.

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No specialists are currently listed for Isolated follicle stimulating hormone deficiency.

View NORD Rare Disease Centers ↗Undiagnosed Disease Network ↗

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to Isolated follicle stimulating hormone deficiency.

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Community

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Caregiver Resources

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Questions for your doctor

Bring these to your next appointment

  • Q1.What blood tests do I need to confirm my FSH levels, and how often should they be checked?,Should I have genetic testing for the FSHB gene, and what does a positive result mean for my family members?,What fertility treatment options are available to me, and what are my realistic chances of having a biological child?,Do I need estrogen or other hormone replacement therapy to protect my bone health?,How will this condition affect me as I get older, and what long-term monitoring do I need?,Are there any support groups or patient communities for people with FSH deficiency?,Should my siblings or other family members be tested for this condition?

Common questions about Isolated follicle stimulating hormone deficiency

What is Isolated follicle stimulating hormone deficiency?

Isolated follicle stimulating hormone (FSH) deficiency is a rare hormonal disorder where the body does not produce enough of a hormone called FSH. FSH is made by the pituitary gland, a small gland at the base of the brain, and it plays a key role in sexual development and reproduction. Without enough FSH, the body cannot properly develop the reproductive system or maintain fertility. This condition is sometimes called isolated FSH deficiency or selective FSH deficiency. In women, low FSH leads to problems with the menstrual cycle, often causing periods to stop or never start properly. The ova

How is Isolated follicle stimulating hormone deficiency inherited?

Isolated follicle stimulating hormone deficiency follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.