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In men, CD can reduce semen quality and cause immature secondary sex characteristics, hypogonadism and hyperprolactinaemia, which causes impotence and loss of libido. [31] The giving of gluten free diet and correction of deficient dietary elements can lead to a return of fertility.
Klinefelter syndrome (KS), also known as 47,XXY, is a chromosome anomaly where a male has an extra X chromosome. [10] These complications commonly include infertility and small, poorly functioning testicles (if present).
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XX male syndrome, also known as de la Chapelle syndrome, is a rare intersex condition in which an individual with a 46,XX karyotype develops a male phenotype. [2] Synonyms for XX male syndrome include 46,XX testicular difference of sex development (or 46,XX DSD) [3] [4] [5] [6]
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Sterility can also be caused by selective breeding, where a selected trait is closely linked to genes involved in sex determination or fertility. For example, goats breed to be polled (hornless). This results in a high number of intersex individuals among the offspring, which are typically sterile.