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Related Experiment Video

Updated: May 20, 2026

A Hyperandrogenic Mouse Model to Study Polycystic Ovary Syndrome
08:20

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Published on: October 2, 2018

Androgen insensitivity syndrome.

Nicolás Mendoza1, Miguel Angel Motos

  • 1Department of Obstetrics and Gynecology, University of Granada, Granada, Spain. nicomendoza@telefonica.net

Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology
|July 21, 2012
PubMed
Summary

Androgen insensitivity syndrome (AIS) is a genetic disorder affecting the androgen receptor (AR). Early diagnosis and treatment are crucial for managing symptoms and ensuring proper patient outcomes.

Area of Science:

  • Genetics
  • Endocrinology
  • Reproductive Medicine

Background:

  • Androgen insensitivity syndrome (AIS) arises from mutations in the androgen receptor (AR) gene.
  • AIS prevalence is estimated at 1 in 20,000–64,000 males for complete AIS (CAIS); partial AIS (PAIS) prevalence is unknown.
  • Symptoms vary widely, from infertility in phenotypically male individuals to primary amenorrhea in phenotypically female individuals, with ambiguous genitalia also observed.

Purpose of the Study:

  • To summarize the key aspects of Androgen Insensitivity Syndrome (AIS).
  • To highlight the diagnostic and management strategies for AIS.
  • To emphasize the importance of early diagnosis for PAIS patients.

Main Methods:

  • Genetic analysis to identify mutations in the AR gene.

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  • Clinical evaluation for phenotypic presentation and diagnosis.
  • Review of current treatment and management protocols for AIS.
  • Main Results:

    • Diagnosis is confirmed by identifying specific AR gene mutations.
    • Early diagnosis in PAIS is essential for sex assignment, treatment, and genetic counseling.
    • Treatment involves reinforcing sexual identity, gonadectomy planning, and hormone replacement therapy.

    Conclusions:

    • Prognosis for CAIS is favorable with timely gonadectomy.
    • PAIS prognosis depends on genital ambiguity and psychosocial adjustment to assigned sex.
    • Comprehensive management is vital for individuals with AIS.