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Living with X-linked myotubular myopathy-abnormal genitalia syndrome

A rare condition from a missing piece of the X chromosome, with a severe muscle disease from birth and differences in male genitals.

Understanding X-linked myotubular myopathy-abnormal genitalia syndrome

X-linked myotubular myopathy-abnormal genitalia syndrome is a rare condition caused by a partial deletion of the long arm of the X chromosome.

It combines X-linked myotubular myopathy with a 46,XY disorder of sex development. People have a severe congenital myopathy (a muscle disease present from birth) and differences in male genitals. Signs begin during pregnancy or in the newborn period.

Signs & symptoms

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

  • Low muscle tone
  • Breathing difficulty
  • Hypospadias
  • Small penis (micropenis)
  • Undescended testes
  • Extra fluid in the womb (polyhydramnios)

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 brain and nervous system 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.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists); Urinary and male reproductive system specialists (urologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 Chromosome Disorder Outreach
  • 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
How is breathing support managed?
Which specialists should be on my child's care team?
Is genetic counseling available for our family?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant

GARD says it is caused by a partial deletion of the long arm of the X chromosome.

GeneticNeurologicalEndocrineUrinary and Reproductive

Also known as: myotubular myopathy with abnormal genital development; x-linked myotubular myopathy, abnormal genitalia syndrome; xq28 contiguous gene deletion syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · X-linked myotubular myopathy-abnormal genitalia syndromeGARD ID 17792 · 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 X-linked myotubular myopathy-abnormal genitalia syndrome.

Explore the X-linked myotubular myopathy-abnormal genitalia syndrome blog

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