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Living with Hypergonadotropic hypogonadism-cataract syndrome

A rare condition that starts in the teen years with cataracts and underactive sex glands, leading to delayed puberty and weak bones.

Understanding Hypergonadotropic hypogonadism-cataract syndrome

Hypergonadotropic hypogonadism-cataract syndrome is a rare hormone condition combining underactive sex glands and cataracts.

It begins in the teen years. The sex glands do not work fully even though pituitary hormones are high. This leads to delayed puberty and lower fertility. Cataracts, a clouding of the eye lens, also develop. Bones may be weak, with short height and fractures.

Signs & symptoms

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

  • Cataracts (clouding of the eye lens)
  • Underactive sex glands (hypogonadism)
  • Delayed puberty
  • Lower fertility
  • Weak bones and recurrent fractures
  • Short height

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 eye disease specialists, genetic specialists, hormone specialists and urinary and male reproductive system specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

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

Care & treatment

Care team
Eye disease specialists (ophthalmologists); 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 hormone treatments could help with puberty?
How can we protect bone health?
Would genetic testing help our family?

Quick facts

Symptoms usually startTeenager
InheritanceAutosomal Recessive

Changes in genes (also called variants) cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticEndocrine

Also known as: cataract and testicular failure syndrome; cataracts and testicular failure; hypergonadotropic hypogonadism with cataract syndrome; lubinsky syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Hypergonadotropic hypogonadism-cataract syndromeGARD ID 298 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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