Agonadism
Classification according to ICD-10 | |
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Q50.0 | Congenital absence of the ovary |
Q55.0 | Absence and aplasia of the testicle |
ICD-10 online (WHO version 2019) |
Agonadism describes the absence or complete loss of function of the gonads (gonads). Genetically male individuals are also referred to as anorchidia (missing testicles ), and to people with a female genotype as anovaria (missing ovaries ). The cause is almost always a congenital or in utero acquired malformation.
The malformation is very rare. In most cases, more or less rudimentary gonads are detectable. The Overzier syndrome , described by the Mainz internist Claus Overzier (born 1918), is a true congenital agonadism in women, i. That is, the embryonic anchoring of the gonads is already missing, presumably as a result of damage to both X chromosomes.
People with the comparatively common chromosomal disorders Turner syndrome (genotype X0) and Klinefelter syndrome (XXY, XXXY) usually have gonads with restricted function ( hypogonadism ).