Patient's Query
Hello doctor,
I am a 25-year-old male. I am 5 feet 11 inches, and I weigh 154 lbs. All the members in my family are tall, but I am not that tall when compared to my father and brother. I have been mentally depressed since my childhood. It is all about my body. I was a female-looking boy with a very soft body, less energy and not interested in sports. Since that time, my arms and legs have been very long. But the arms are very lean, like a girl's.
My puberty was too late, at around 18 years of age. But after puberty, I have hair on my face, but till now it is not as much as my brother had at that age. Facial hair is also thin and not uniform everywhere.
I feel my bones are like females' and not very strong; my arms and fingers are not as big as males'. My muscles are too. I went to the gym and built up a little muscle, but my forearms and fingers are still feminine. I feel my waist is a little wide.
Did I have any genetic problems or hormonal imbalances at the puberty stage?
I am totally exhausted. I am always worried about that.
Please help me.
Thank you.
Hi,
Welcome to icliniq.com. I totally understand your anxiety. Based on the description that you have given, there could be a possibility of Klinefelter syndrome. This condition can be seen in about one in 600 boys. A normal male will have a chromosomal pattern of XY. However, in the case of Klinefelter syndrome, there would be an extra X chromosome, which would have happened randomly during the formation of the egg or sperm, or after the baby boy had been conceived.
The extra chromosome is not inherited. So, this condition does not run in families. The adult male body may not be able to produce enough testosterone, the hormone responsible for the development of male characteristics. There may be low energy and sex drive, lack of muscle and too much body fat around the waist.
Most men with this condition lead normal lives and also have normal relationships. A few boys with the condition may feel shy and may have low levels of self-confidence. They may grow quicker than usual and may become taller than other family members.
The testicles may be smaller than normal and may not produce enough of the sex hormone testosterone. This may lead to features such as the following:
It is advisable to get treated early in order to avoid further fertility issues. Treatment options available are the following:
A definitive diagnosis can be made only after a complete physical examination and after performing laboratory tests. Visiting an endocrinologist at the earliest would be advisable.
Consult an endocrinologist online for further follow-up.
I hope it helps.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply.
I already consulted an endocrinologist, and he tested my testicles and said they are normal and I am normal. I also said something about XXY syndrome. He said everything is normal and there is no problem at all. But if I see my body, especially my hand, that makes me disappointed.
Please help.
Thank you.
Hello,
Welcome to icliniq.com.
As you have already consulted an endocrinologist, and as you have undergone all the investigations to rule out Klinefelter syndrome, I see no point in your worrying.
Just like how no two fingers are the same, no two males or no two females will look the same. There might be a slight variation in the physical appearance of a few people. A few females may have masculine features, and a few males may have feminine features, which may be quite normal.
But such differences should not hamper ones self confidence and self-esteem. Now, as you know, there is no chromosomal abnormality; I suggest you overcome the complex that you have feminine features and try to build self-confidence.
Try to ward off the inferiority complex and focus more on your personal and professional development and also try to get more active physically by involving in sports, aerobics, gym, dancing, etc.
Also, try to read a few motivational stories and try to gain the support of your family members too. For the benefit of doubt, you may get your testosterone levels checked once again.
I hope it helps.
Thank you.
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