They might be slow to learn to talk, read, and write, and they might have difficulty processing what they hear. But various interventions, such as speech therapy and educational assistance, can help to reduce and even eliminate these difficulties.
The earlier treatment begins, the better the outcomes. Parents might need to bring these types of problems to the teacher's attention. Because these boys can be quiet and cooperative in the classroom, teachers may not notice the need for help. Boys and men with KS can benefit by visiting therapists who are experts in areas such as coordination, social skills, and coping. XXY males might benefit from any or all of the following:.
Parents of XXY males have also mentioned that taking part in physical activities at low-key levels , such as karate, swimming, tennis, and golf, were helpful in improving motor skills, coordination, and confidence.
With regard to education, some boys with KS will qualify to receive state-sponsored special needs services to address their developmental and learning symptoms. But, because these symptoms may be mild, many XXY males will not be eligible for these services. Families can contact a local school district official or special education coordinator to learn more about whether XXY males can receive the following free services:. Many of the professionals and methods for treating learning and language symptoms of the XXY condition are similar to or the same as the ones used to address social and behavioral symptoms.
For instance, boys with KS may need help with social skills and interacting in groups. Occupational or behavioral therapists might be able to assist with these skills. Some school districts and health centers might also offer these types of skill-building programs or classes.
In adolescence, symptoms such as lack of body hair could make XXY males uncomfortable in school or other social settings, and this discomfort can lead to depression, substance abuse, and behavioral problems or "acting out. Contrary to research results released decades ago, current research shows that XXY males are no more likely than other males to have serious psychiatric disorders or to get into trouble with the law.
The type of treatment needed depends on the type of symptoms being treated. Testosterone treatment can: Improve muscle mass Deepen the voice Promote growth of facial and body hair Help the reproductive organs to mature Build and maintain bone strength and help prevent osteoporosis in later years Produce a more masculine appearance, which can also help relieve anxiety and depression Increase focus and attention There are various ways to take testosterone: Injections or shots, every 2 to 3 weeks Pills Through the skin, also called transdermal pronounced tranz-DERM-ul ; current methods include wearing a testosterone patch or rubbing testosterone gel on the skin Males taking testosterone treatment should work closely with an endocrinologist pronounced en-doe-kren-AWL-oh-jist , a doctor who specializes in hormones and their functions, to ensure the best outcome from testosterone therapy.
Is testosterone therapy right for every XXY male? Not all males with XXY condition benefit from testosterone therapy. Treating Language and Learning Symptoms Some, but not all, children with KS have language development and learning delays. XXY males might benefit from any or all of the following: Physical therapists design activities and exercises to build motor skills and strength and to improve muscle control, posture, and balance.
Occupational therapists help build skills needed for daily functioning, such as social and play skills, interaction and conversation skills, and job or career skills that match interests and abilities. Behavioral therapist s help with specific social skills, such as asking other kids to play and starting conversations. They can also teach productive ways of handling frustration, shyness, anger, and other emotions that can arise from feeling "different.
They can also help with substance abuse problems. These professionals can also help families deal with the emotions of having a son with KS. Fertility researchers are working on new treatments. By the time a teen with Klinefelter syndrome is ready to become a dad, there may be new options available related to the extraction of sperm from the testicles.
The earlier a guy finds out about Klinefelter syndrome, the better. Treatments are most effective if they start while a guy is still young. So if you're worried about your development, talk to your doctor. It might be nothing, but it's always best to know, especially because Klinefelter syndrome can be hard to notice. To diagnose a guy with Klinefelter syndrome, doctors usually begin by asking about any learning or behavior issues and examining the testicles and body proportions.
They'll check a blood sample for the presence of the extra X chromosome. Doctors also can do hormone testing, usually by taking a blood sample to check for abnormal hormone levels. There's no way to change the XXY condition if someone is born with it, but there are treatments that can help.
Beginning treatment early makes it work better. It's not easy to feel like you're developing differently from other guys. Guys with Klinefelter syndrome are more likely to have low self-confidence or shyness, which can make things harder.
Counselors and therapists can give guys practical skills to help them feel more confident in social settings. If you're struggling to keep up or do well in school, talk to your school counselor or teachers. Tell them about your condition. You might be able to get extra assistance and support to make schoolwork and classes go more smoothly.
Despite physical differences and other problems, with the right medical care, early intervention, and ongoing support, guys with Klinefelter syndrome can lead a normal, healthy, and productive life. Reviewed by: Judith L. Ross, MD. Larger text size Large text size Regular text size. What Is Klinefelter Syndrome? More Information Genetic testing. More Information Psychotherapy. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references AskMayoExpert.
Klinefelter syndrome. Mayo Clinic; Genetics Home Reference. Accessed Aug. About Klinefelter syndrome. National Human Genome Research Institute.
Klinefelter syndrome 47,XXY. Merck Manual Professional Version. Klinefelter syndrome KS. Genetic and Rare Diseases Information Center.
Bearelly P, et al. Recent advances in managing and understanding Klinefelter syndrome. Ferri FF.
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