Klienfelter Syndrome Presenting as a Lifelong Anejaculation - A Case Report and Literature Review

Nader Salama^1,

¹Department of Urology, Alexandria Faculty of Medicine, Alexandria, Egypt

Cite this paper:
Nader Salama. Klienfelter Syndrome Presenting as a Lifelong Anejaculation - A Case Report and Literature Review. American Journal of Medical and Biological Research. 2014; 2(5):118-120. doi: 10.12691/ajmbr-2-5-2

Abstract

Introduction: Klinefelter syndrome (KS) is the most common sex chromosomal anomaly with hypogonadism being a common feature in this syndrome. The ejaculate volume is about normal to low in men with this syndrome. In the present report, we describe the successful treatment of a lifelong anejaculation in a man with KS. This represents the first report of successful treatment of anejaculation in KS. Case presentation: A 24-year-old Caucasian man presented with a lifelong history of failure of ejaculation. A diagnostic work-up revealed the existence of KS and administration of human chorionic gonadotrophin restored the ejaculation. Conclusion: This case report confirms further the increased prevalence of ejaculatory disorders among men with KS in whom associated hypogonadism should be considered a cause of anejaculation. Diagnosis of KS is often delayed. Early diagnosis of the syndrome before puberty is highly recommended and desirable to maintain quality of life.

Keywords:
Klinefelter syndrome hypogonadism anejaculation human chorionic gonadotrophin

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