Overview
Male infertility with azoospermia or oligozoospermia due to single gene mutation is a genetic condition in which a man produces very few sperm (oligozoospermia) or no sperm at all (azoospermia) because of a change (mutation) in a single gene. This condition is one of the genetic causes of male infertility, which affects a significant number of couples trying to conceive. The problem lies in the genes that control how sperm are made, how they mature, or how they function. Because sperm production is disrupted at a fundamental genetic level, men with this condition typically discover it when they have difficulty fathering children, usually in adulthood. The key symptom is the inability to conceive naturally with a partner. A semen analysis will show either no sperm or a very low sperm count. In most cases, men feel perfectly healthy otherwise — there are usually no outward physical signs or pain. However, depending on the specific gene involved, some men may have smaller-than-normal testes or other subtle findings on physical examination. Treatment depends on the severity and the specific genetic cause. For men with very low sperm counts, assisted reproductive technologies such as intracytoplasmic sperm injection (ICSI) may allow biological fatherhood. For men with no sperm in the ejaculate, surgical sperm extraction (such as micro-TESE) may sometimes retrieve sperm directly from the testes. Genetic counseling is strongly recommended, as some mutations can be passed to sons. When biological fatherhood is not possible, options include donor sperm or adoption. Research into new therapies is ongoing but no gene-specific treatments are currently available.
Key symptoms:
Inability to conceive a child naturallyNo sperm found in semen (azoospermia)Very low sperm count (oligozoospermia)Normal sexual function and libido in most casesSmall or underdeveloped testes in some casesNormal male physical appearance in most casesPossible hormonal imbalances such as elevated FSH levelsEmotional distress related to infertility
Clinical phenotype terms (7)— hover any for plain English
Variable
Can be inherited in different ways depending on the underlying gene
Adult
Begins in adulthood (age 18 or older)
Treatments
No FDA-approved treatments are currently listed for Male infertility with azoospermia or oligozoospermia due to single gene mutation.
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Specialists
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Treatment Centers
8 centersBaylor College of Medicine Rare Disease Center ↗
Baylor College of Medicine
📍 Houston, TX
🏥 NORDStanford Medicine Rare Disease Center ↗
Stanford Medicine
📍 Stanford, CA
🔬 UDNNIH Clinical Center Undiagnosed Diseases Program ↗
National Institutes of Health
📍 Bethesda, MD
🔬 UDNUCLA UDN Clinical Site ↗
UCLA Health
📍 Los Angeles, CA
🔬 UDNBaylor College of Medicine UDN Clinical Site ↗
Baylor College of Medicine
📍 Houston, TX
🔬 UDNHarvard/MGH UDN Clinical Site ↗
Massachusetts General Hospital
📍 Boston, MA
🏥 NORDMayo Clinic Center for Individualized Medicine ↗
Mayo Clinic
📍 Rochester, MN
👤 Mayo Clinic Center for Individualized Medicine
🏥 NORDUCLA Rare Disease Day Program ↗
UCLA Health
📍 Los Angeles, CA
Travel Grants
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Questions for your doctor
Bring these to your next appointment
- Q1.What specific gene mutation is causing my infertility, and what does it mean for my chances of having biological children?,Is there any chance of finding sperm through surgical extraction, and what are the success rates for my specific genetic cause?,Could this genetic mutation be passed on to my children, and what would that mean for them?,What assisted reproductive options are available to us, and what are the costs involved?,Are there any clinical trials or new research studies I could participate in?,Should other family members be tested for this genetic mutation?,Can you recommend a genetic counselor and a mental health professional who specializes in infertility?
Common questions about Male infertility with azoospermia or oligozoospermia due to single gene mutation
What is Male infertility with azoospermia or oligozoospermia due to single gene mutation?
Male infertility with azoospermia or oligozoospermia due to single gene mutation is a genetic condition in which a man produces very few sperm (oligozoospermia) or no sperm at all (azoospermia) because of a change (mutation) in a single gene. This condition is one of the genetic causes of male infertility, which affects a significant number of couples trying to conceive. The problem lies in the genes that control how sperm are made, how they mature, or how they function. Because sperm production is disrupted at a fundamental genetic level, men with this condition typically discover it when the
At what age does Male infertility with azoospermia or oligozoospermia due to single gene mutation typically begin?
Typical onset of Male infertility with azoospermia or oligozoospermia due to single gene mutation is adult. Age of onset can vary across affected individuals.