Klinefelter syndrome (XXY)
Syndroma Klinefelter (47,XXY) · Klinefelterův syndrom (XXY)
male only
What it is
A boy with an extra X chromosome: small firm testes, low testosterone and infertility — common (1 in 600) and mostly undiagnosed.
Symptoms & signs
- Small firm testes
- tall with long legs
- breast development
- little body hair
- infertility
- learning and language difficulties
🚩 Get help if…
- call 112 / 911 now One leg swollen and painful, or sudden breathlessness
- see a doctor soon Small, firm testes and no deepening voice at puberty
- see a doctor soon A breast lump in a man
- see a doctor soon No pregnancy after a year of trying
Where it strikes
Medical treatment
- Karyotype
- testosterone replacement
- sperm retrieval (micro-TESE) and IVF
- speech and learning support
- bone density checks
Natural & lifestyle
- Exercise
- healthy weight
- bone care
Emerging & experimental
- Sperm preservation in adolescence
- germ-cell research
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Herbal testosterone boosters — cannot replace failing testes anecdotal / traditional
- Vitamin D and exercise — for bone strength early / small studies
- Zinc supplements — anecdotal anecdotal / traditional
ICD codes
- ICD-10 Q98.4
- ICD-11 LD50.3 Klinefelter syndrome