Androgen Insensitivity Syndrome

Definition

In individuals with a 46,XY karyotype it presents with undermasculinization of the external genitalia, abnormal secondary sexual development at puberty and infertility; it results from a reduced capacity of the body to respond to androgens. The clinical spectrum is divided into three groups: Complete AIS (typical female external genital appearance), Partial AIS (ambiguous genital development) and Mild AIS (typical male appearance with reduced secondary sexual characteristics and/or infertility).

Gene/region analyzed

AR - Exon 1 - CAG Repeat Number

Method

Sequence analysis

Accepted sample types

EDTA blood, AF, CVS

Inheritance

Caused by loss-of-function variants in the AR gene at Xq12; inherited in an X-linked recessive manner. Affected 46,XY individuals are almost always infertile; carrier (46,XX) women have a 50% risk of transmission in each pregnancy.

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