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Living with 46,XY sex reversal 11

A condition, also called testicular regression syndrome, in which one or both testicles are absent or underdeveloped.

Understanding 46,XY sex reversal 11

46,XY sex reversal 11, also called testicular regression syndrome, is a condition in which one or both testicles are absent.

In testicular regression syndrome, there is partial or complete absence of testicular tissue. A person can range from typical male with one testicle that cannot be felt, to male with a small penis, to a female appearance. The result depends on the extent and timing of the change before birth. GARD lists onset as newborn.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Absent or small testes
  • Genitals that are not clearly male or female
  • Underdeveloped penis
  • Lower fertility
  • Differences in internal genital organs

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists, hormone specialists and urinary and male reproductive system specialists.

  3. Consider genetic testing

    Changes in DHX37 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Resolve: The National Infertility Association may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Hormone specialists (endocrinologists); Urinary and male reproductive system specialists (urologists)
Expert care
Expert lists: Resolve: The National Infertility Association
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Resolve: The National Infertility Association
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which tests confirm testicular regression and the gene change?
Which specialists should be on our care team?
What should we know about hormones and fertility?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive
GenesDHX37

Changes in the DHX37 gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticEndocrineUrinary and Reproductive

Also known as: 46, xy sex reversal 11; anorchia, familial; embryonic testicular regression syndrome; etrs; srxy11; testicular regression - embryonic

Patient organizations

Broader rare-disease groups

Source: NIH GARD · 46,XY sex reversal 11GARD ID 16552 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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