Signs and symptoms may include:
- Taller than average stature
- Longer legs, shorter torso and broader hips compared with other boys
- Absent, delayed or incomplete puberty
- After puberty, less muscle and less facial and body hair compared with other teens
- Small, firm testicles
- Small penis
- Enlarged breast tissue (gynecomastia)
- Weak bones
- Low energy levels
- Tendency to be shy and sensitive
- Difficulty expressing thoughts and feelings or socializing
- Problems with reading, writing, spelling or math
- Low sperm count or no sperm
- Small testicles and penis
- Low sex drive
- Taller than average height
- Weak bones
- Decreased facial and body hair
- Less muscular compared with other men
- Enlarged breast tissue
- Increased belly fat
Klinefelter syndrome can be caused by:
- One extra copy of the X chromosome in each cell (XXY), the most common cause
- An extra X chromosome in some of the cells (mosaic Klinefelter syndrome), with fewer symptoms
- More than one extra copy of the X chromosome, which is rare and results in a severe form
Klinefelter syndrome may increase the risk of:
- Anxiety and depression
- Social, emotional and behavioral problems, such as low self-esteem, emotional immaturity and impulsiveness
- Infertility and problems with sexual function
- Weak bones (osteoporosis)
- Heart and blood vessel disease
- Breast cancer and certain other cancers
- Lung disease
- Metabolic syndrome, which includes type 2 diabetes, high blood pressure (hypertension), and high cholesterol and triglycerides (hyperlipidemia)
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