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J Med Genet 2002;39:153-161 doi:10.1136/jmg.39.3.153
  • Review article

Human gene mutations causing infertility

  1. L C Layman
  1. Section of Reproductive Endocrinology, Infertility, and Genetics, Department of Obstetrics and Gynecology, Neurobiology Program, The Institute of Molecular Medicine and Genetics, The Medical College of Georgia, 1120 15th Street, Augusta, GA 30912-3360, USA
  1. Correspondence to:
 Dr L C Layman, Section of Reproductive Endocrinology, Infertility, and Genetics, Department of Obstetrics and Gynecology, Neurobiology Program, The Institute of Molecular Medicine and Genetics, The Medical College of Georgia, 1120 15th Street, Augusta, GA 30912-3360, USA;
 Llayman{at}mail.mcg.edu

    Abstract

    The identification of gene mutations causing infertility in humans remains noticeably deficient at present. Although most males and females with infertility display normal pubertal development, nearly all of the gene mutations in humans have been characterised in people with deficient puberty and subsequent infertility. Gene mutations are arbitrarily categorised into four different compartments (I, hypothalamic; II, pituitary; III, gonadal; and IV, outflow tract). Diagnoses of infertility include hypogonadotrophic hypogonadism (compartments I and II), hypergonadotrophic hypogonadism (III), and obstructive disorders (compartment IV). Most gene mutations identified to date affect gonadal function, but it is also apparent that a large number of important genes in normal fertility have yet to be realised.

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