Could my boyfriend have KS?

Posted , 4 users are following.

I came across KS a while ago on the internet and think my boyfriend (37 yrs old) might have it. He has a lot of the symptoms: no facial hair and sparse body hair, small testes, long legs and short torso, tendancy to put on weight (although he is by no means fat). He has ADHD and depression and has been on meds since he was a teenager. He does, however, have a discernible Adam's apple, a deep voice, and no signs of gynocomastia. 

I haven't told my boyfriend my suspicions as I don't want to hurt his feelings, but I have hinted us going to see a doctor for an exam as we want to start a family soon. But he is reluctant to do so, and I don't want to try for a baby for years before finding out that there is a problem. I know that he has had a thyroid test and has even seen a urologist for an unrelated problem. I'm guessing they would have picked up KS if he did have it. Am I worrying for nothing? 

0 likes, 14 replies

Report / Delete

14 Replies

  • Posted

    That's a curious problem.  If you want to have a family and you suspect your partner is infertile, you really ought to tell him your suspicions.  How can you suspecting something be hurtful?  Just say "Look, balls have to be a certain size to work properly and I don't think your balls are big enough.  I may be wrong, but set my mind at ease, please and see a doctor."  If he loves you he'll not want to cause you any concern at all, will he.    
    Report / Delete Reply
    • Posted

      Thanks XXyGuy. Finally, after a lot of hemming and hawing, I did bring it up with my boyfriend, and he went to see a urologist who confirmed that he does indeed have small testicles. She said that having small testicles doesn't always mean something is wrong, but anwyays, she suggested he do a hormone test and a sperm test. We are waiting for the results now. I'm nervous, but it feels good to not keep it in anymore. 
      Report / Delete Reply
    • Posted

      True, testes in the adult do ahve a range of normal for size, but small and firm, that would be a problem. Balls are supposed to have 'bounch back' ability, that is is you squeeze thenm they're supposed to give a little then return to their regular shape.  XXY guys with KS, their balls don't give, they're solid.  However males with Kallmann syndrome, they have small testes and they do give a little.  Well I'm told they do.  :D
      Report / Delete Reply
    • Posted

      Hi again,

      So my boyfriend went for both a blood test and a sperm test. He does have low sperm count but good motility. His urologist suggests trying for a couple of years before going down the artificial insemination route. She said that the chances of natural pregnancy are low but still remotely possible. As for the blood test, the testotrone level is low but still within the normal range. 

      We are still unsure of what all this means. I guess it might not rule out Klinefelter's. In any case, it was good that he went to the doctors. Thanks again for listening to me go on. 

      Report / Delete Reply
    • Posted

      Low Testosterone but within the normal range is typical for men with KS.  When I was between 16 and17 and my balls were less than 1.0ml volume I had low normal testosterone.  Your b/f's results do not unequivocally rule out KS.  

      I suggest a second opinion.     

      Report / Delete Reply
    • Posted

      Thanks again. We are going to see a fertility specialist soon to look over the results and explore options. I've been trying to find out for sure without much luck: do men with klinefelters actually have sperm in their ejaculate? Most forums on conceiving with KS say no, that XXY men have azoospermia. Do you happen to know? Thanks so much! You are by far one of the most knowledgable person on the syndrome that I've come across. 

      Report / Delete Reply
    • Posted

      From 2000, that's 16's years old,  the title is  "Ejculated spermatozoa in patients with non mosaic Klinefelters syndrome"   it is written by a bunch of Japanese doctors, ansd I can't copy & paste from a PDF file, or work out how to save it in another format, but you can search for it.  It does say most KS guys are infertile, that they do have azoospermia, but also details some who don't, do have sperm in their ejaculate and can produce children by ICSI and other fertility treatments.

      I have several other documents that detail fertility in XXY males, one called      "Long term outcome in children of sex chromosome abnormalities" by Dr Shirely Ratcliffe, that mentions an Israeli XXY man with normally sized and functioning testes, so we can't just assume all XXY's have no sperm at all, or can't have some sperm in their ejaculate, or in their testes that need help getting out.

      If I can search for and find articles on fertility options for XXY's why do you suppose these people in these other groups can't?   I suppose these people are struck in their ways, they stop looking but researchers don't.  Science never stops.  cheesygrin         

      Report / Delete Reply
  • Posted

    Hopefully your boy friend is not a heavy drinker which can cause testes to shrink in size. Taking any muscle enhancing drugs will also reduces testes size. You can always ask a doctor if he needs additional testosterone in order to have children. In my case, I don't produce any sperms and therefore I am sterile, I am a xxy male. Before, I got testosterone injections, I had no muscles, only fat, no body hair or facial hair, lack of energy and a short term memory. Plus I have listed all my medical problems on this website. But not every xxy has the same medical conditions that I have which is over 20. Your bf only has a few characteristics, do I would not worry to much about having children since you have contacted doctors. Good Luck

    Report / Delete Reply
    • Posted

      Hi again. So the plot thickens. My boyfriend's karyotype came out as 46xy. He has been seeing an endocrinologist and is diagnosed as having primary hypogonadism resulting from unknown causes. Although he has been prescribed chlomid to try to boost testosterone levels, the doctor thinks it is a shot in the dark and might not help. What is really frustrating is that no one is giving us any answers. They are saying "well, the hormone levels are not going crazy, but we have no idea why." Does anyone have any experience/knowledge of why someone might exhibit signs of KS (high FSH/LH, low testosterone, no facial hair, small testicles) but NOT be XXY? 

      Report / Delete Reply
    • Posted

      Oky doky, yes it is popssible to be 46XY (on trhe face of it) and have KS.  I suggest a careful study of your b/f's X is required here, he MAY have an a repeat sequence on his X?  Send me a PM and I'll give you the details of just such a man on Facebook, he's a friend  of mine I'm sure he won't mind chatting to you.   I think Clomid is a shot in the dark too, Clomid boosts gonadotropins LH and FSH and XXY males tend to have elevated LH and FSH so there's hardly any point.  It may be that his doctor thinks he has Kallamnn syndrome, or a version of it,  but that's secondary hypogonadism, that may respond well to Clomid therapy?  It cewrtainly is a mystery though. Origionally Klinefleters syndrome was confirmed by biopsy of the testes, when seminiferous tubule dygenesis was found, that may be the next  test done, you might lie to suggest it to your b/f and his doctors?    

      Report / Delete Reply
    • Posted

      Oky doky, yes it is possible to be 46XY (on the face of it) and have KS.  I suggest a careful study of your b/f's X is required here, he MAY have a repeat sequence on his X?  Send me a PM and I'll give you the details of just such a man on Facebook, he's a friend  of mine I'm sure he won't mind chatting to you.   I think Clomid is a shot in the dark too, Clomid boosts gonadotropins LH and FSH and XXY males tend to have elevated LH and FSH so there's hardly any point.  It may be that his doctor thinks he has Kallamnn syndrome, or a version of it,  but that's secondary hypogonadism, that may respond well to Clomid therapy?  It certainly is a mystery though. Originally Klinefelters syndrome was confirmed by biopsy of the testes, when seminiferous tubule dygenesis was found, that may be the next  test done, you might like to suggest it to your b/f and his doctors?    

      (spelling corrected - hopefully?)

      Report / Delete Reply
    • Posted

      He may be a mosaic xy/xxy. I am xxy. I had a karotype blood test and a buccal skin scrape from the inside of my mouth, which resulted in my 47 chromosomes test which designated me as a xxy male or with Klinefelters Syndrome back in 1982.

      Some individuals do undergo a biopsy of their testes but I don't know anyone who has undergone that procedure.

      Hopefully the doctors can determine why he has primary hypogonadism. I was diagnosed with primary hypogonadism back in 1982 but nowadays, I assume there are more accurate testing,now.

      Good luck.

      .

      Report / Delete Reply
  • Posted

    Hi i read your post just now. Im curious to know how did you get on? I have suspicion my husband has KS! He is not ready to see a doctor evafing the issue. He has poor libido and has not slept with me for last 5 years or more. Please let me know your experience about your partners libido.

    Thanks Vivian

    Report / Delete Reply

Join this discussion or start a new one?

New discussion Reply

Report or request deletion

Thanks for your help!

We want the forums to be a useful resource for our users but it is important to remember that the forums are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the forums is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.

newnav-down newnav-up