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Living with Testicular agenesis

A rare condition present at birth in which a person with male chromosomes is born without testicular tissue.

Understanding Testicular agenesis

Testicular agenesis is a rare condition of gonad development in which testicular tissue is completely missing from birth in a person with 46,XY chromosomes.

People with this condition otherwise have a typical male appearance and typical chromosomes. A small penis is often seen. Blood tests usually show high levels of the hormones FSH and LH, and low testosterone. It is noticed in the newborn period.

Signs & symptoms

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

  • Absent testes
  • Short penis (micropenis)
  • Genitals that look neither clearly male nor female
  • Low testosterone
  • High levels of hormones from the pituitary gland (gonadotropins)
  • Urogenital sinus anomaly

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 InterConnect and other patient organizations
  • 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
What hormone tests would help confirm this diagnosis?
Which specialists, such as endocrinologists, should we see?
Would genetic testing or counseling be useful for our family?

Quick facts

Symptoms usually startNewborn

GARD says changes in genes (variants) cause this condition, but it doesn't name a specific gene.

GeneticEndocrineUrinary and Reproductive

Also known as: absent testicle (congenital); agenesis of testis; bilateral anorchia; congenital absence of testis

Patient organizations

Source: NIH GARD · Testicular agenesisGARD ID 5819 · 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 Testicular agenesis.

Explore the Testicular agenesis blog

Explore research for Testicular agenesis

Explore actively recruiting Testicular agenesis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Testicular agenesis with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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