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Living with Primary hypergonadotropic hypogonadism-partial alopecia syndrome

A rare inherited syndrome with underactive sex glands that do not respond to signals from the brain, plus patchy scalp hair loss.

Understanding Primary hypergonadotropic hypogonadism-partial alopecia syndrome

Primary hypergonadotropic hypogonadism-partial alopecia syndrome is a rare syndrome with underactive sex glands (gonads) and partial hair loss.

In hypergonadotropic hypogonadism, the gonads make low sex hormones even though the brain's signals to them are high. Features include delayed puberty, missing or underdeveloped ovaries or uterus, low estrogen or testosterone, and hair loss on the scalp and eyebrows. It starts around birth.

Signs & symptoms

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

  • Underactive sex glands (hypogonadism)
  • Delayed puberty
  • Patchy hair loss on the scalp
  • Thin or missing eyebrows
  • Slow growth
  • Small head size (microcephaly)

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. 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
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
Would genetic testing help find the cause in our family?
Which hormone treatments could support puberty?
How might this affect fertility?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive

GARD says changes in genes cause this condition but doesn't name a gene. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticEndocrine

Also known as: al awadi-farag-teebi syndrome; hypergonadotropic hypogonadism and partial alopecia

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Primary hypergonadotropic hypogonadism-partial alopecia syndromeGARD ID 16588 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Primary hypergonadotropic hypogonadism-partial alopecia syndrome.

Explore the Primary hypergonadotropic hypogonadism-partial alopecia syndrome blog

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