Caring for someone with this diagnosis? Eleplan keeps diagnoses, medications, documents and every specialist in one plan.
Start free with Eleplan46,XY gonadal dysgenesis-motor and sensory neuropathy syndrome
ORPHA:168563Malformation syndrome
What it is
46,XY gonadal dysgenesis-motor and sensory neuropathy syndrome is a rare, genetic, developmental defect during embryogenesis disorder characterized by partial (unilateral testis, persistence of Müllerian duct structures) or complete (streak gonads only) gonadal dysgenesis, usually manifesting with primary amenorrhea in individuals with female phenotype but 46,XY karyotype, and sensorimotor dysmyelinating minifascicular polyneuropathy, which presents with numbness, weakness, exercise-induced muscle cramps, sensory disturbances and reduced/absent deep tendon reflexes. Germ cell tumors (seminoma, dysgerminoma, gonadoblastoma) may develop from the gonadal tissue.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Infancy, Neonatal
- Inheritance
- Autosomal recessive
- Classified as
- Malformation syndrome
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Very common80–99%
23- Abnormality of female external genitalia
- Abnormality of peripheral nerve conduction
- Abnormality of peripheral nerves
- Abnormality of the vagina
- Abnormal peripheral myelination
- Decreased serum estradiol
- Decreased serum testosterone concentration
- Distal muscle weakness
- Distal sensory impairment of all modalities
- Gonadal dysgenesis
- Gonadal dysgenesis with female appearance, male
- Hypoplasia of the uterus
- Increased circulating gonadotropin level
- Infertility
- Male hypogonadism
- Polyneuropathy
- Primary amenorrhea
- Reduced tendon reflexes
- Sensorimotor neuropathy
- Sensory ataxic neuropathy
- Skeletal muscle atrophy
- Streak ovary
- Testicular dysgenesis
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Gene
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
Powered by Eleplan
A rare diagnosis is just the start. Eleplan keeps the whole care plan in one place.
Diagnoses, medications, documents, appointments, and the whole care team — organized and always in sync, so you are not retelling the same story to every new specialist. With Ellie, your AI care assistant, on top of it. Free to start.