Male infertility with teratozoospermia due to single gene mutation

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ORPHA:399808OMIM:618420N46
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Overview

Male infertility with teratozoospermia due to single gene mutation is a rare genetic condition that affects a man's ability to father children. In this condition, a single change (mutation) in one gene causes the sperm to develop with abnormal shapes, a problem doctors call teratozoospermia. Normally, sperm have a specific head, midpiece, and tail shape that allows them to swim properly and fertilize an egg. When a gene mutation disrupts sperm development, most or all of the sperm end up with misshapen heads, abnormal midpieces, or defective tails. This means the sperm cannot move well or penetrate an egg, leading to infertility. Men with this condition typically have normal hormone levels and produce a normal amount of sperm, but the sperm simply do not look or function correctly. The condition is usually discovered when a couple has difficulty conceiving and the man undergoes a semen analysis. Depending on the specific gene involved, the sperm abnormalities can take different forms — for example, round-headed sperm (globozoospermia), sperm with multiple heads or tails, or sperm with very large or very small heads. Treatment options focus on assisted reproductive technologies. Intracytoplasmic sperm injection (ICSI), where a single sperm is directly injected into an egg during in vitro fertilization (IVF), is the most commonly used approach. While there is no cure that corrects the underlying genetic defect, ICSI has allowed many affected men to become biological fathers. Genetic counseling is recommended to understand the chance of passing the condition to future children.

Key symptoms:

Inability to conceive a child naturallyAbnormally shaped sperm seen on semen analysisRound-headed sperm (in some genetic forms)Sperm with multiple heads or tailsSperm with very large or very small headsPoor sperm movementFailed fertilization during IVF without ICSIRepeated unsuccessful attempts at conceptionNormal sex drive and sexual functionNormal testosterone levels

Clinical phenotype terms (8)— hover any for plain English
Phenotypic abnormalityHP:0000118Abnormal spermatogenesisHP:0008669Non-obstructive azoospermiaHP:0011961GlobozoospermiaHP:0012205Abnormal sperm morphologyHP:0012864Abnormal sperm tail morphologyHP:0012868
Inheritance

Variable

Can be inherited in different ways depending on the underlying gene

Age of Onset

Adult

Begins in adulthood (age 18 or older)

Orphanet ↗OMIM ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Male infertility with teratozoospermia due to single gene mutation.

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No specialists are currently listed for Male infertility with teratozoospermia due to single gene mutation.

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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

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Questions for your doctor

Bring these to your next appointment

  • Q1.What specific gene mutation is causing my teratozoospermia, and what does it mean for my fertility options?,What are the chances of successful pregnancy with ICSI given my specific type of sperm abnormality?,Could my future sons inherit this condition, and should we consider preimplantation genetic testing?,Are there any additional techniques like artificial oocyte activation that might improve our chances?,Should my partner and I both undergo genetic testing before starting fertility treatment?,How many ICSI cycles should we try before considering other options like donor sperm?,Are there any clinical trials or new treatments being studied for my specific condition?

Common questions about Male infertility with teratozoospermia due to single gene mutation

What is Male infertility with teratozoospermia due to single gene mutation?

Male infertility with teratozoospermia due to single gene mutation is a rare genetic condition that affects a man's ability to father children. In this condition, a single change (mutation) in one gene causes the sperm to develop with abnormal shapes, a problem doctors call teratozoospermia. Normally, sperm have a specific head, midpiece, and tail shape that allows them to swim properly and fertilize an egg. When a gene mutation disrupts sperm development, most or all of the sperm end up with misshapen heads, abnormal midpieces, or defective tails. This means the sperm cannot move well or pene

At what age does Male infertility with teratozoospermia due to single gene mutation typically begin?

Typical onset of Male infertility with teratozoospermia due to single gene mutation is adult. Age of onset can vary across affected individuals.