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Living with XY type gonadal dysgenesis-associated anomalies syndrome

A very rare genetic condition described in two sisters, with cleft lip and palate, underdeveloped gonads, short stature and body differences.

Understanding XY type gonadal dysgenesis-associated anomalies syndrome

XY type gonadal dysgenesis-associated anomalies syndrome is a very rare genetic condition described only once, in two sisters.

The sisters had a 46,XY karyotype (a chromosome pattern usually seen in males) and underdeveloped gonads (streak gonads). They also had cleft lip and palate, short stature and mild developmental delay. Differences in the heart, kidneys, bones and muscles, and skin and hair were also noted.

Signs & symptoms

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

  • Underdeveloped gonads (gonadal dysgenesis)
  • Cleft palate
  • Hole between the heart's lower chambers (VSD)
  • Small or missing kidney
  • Mild developmental delay and intellectual disability
  • Broad thumbs and large hands

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, maternal-fetal medicine specialists and urinary and male reproductive system specialists.

  3. Consider genetic testing

    Changes in PPP2R3C are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Genetic specialists (geneticists); Hormone specialists (endocrinologists); Maternal-fetal medicine specialists (pregnancy-related); 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 rare disease patient organizations for support
  • 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
Could genetic testing of the PPP2R3C gene confirm the diagnosis?
Which specialists should check the heart, kidneys and hormones?
What care is available for cleft lip and palate?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive
GenesPPP2R3C

Changes in the PPP2R3C gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticEndocrineUrinary and Reproductive

Also known as: gonadal dysgenesis xy type with associated anomalies; xy type gonadal dysgenesis with associated anomalies syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · XY type gonadal dysgenesis-associated anomalies syndromeGARD ID 2541 · 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 XY type gonadal dysgenesis-associated anomalies syndrome.

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