Table 1 Considerations with regard to discordant sex-chromosome results
Questions to ask the pregnant woman | Diagnostic considerations |
|---|---|
Are you over 35 years old? | Somatic loss of X chromosome due to aging |
Have you ever received a transplant of any kind? | Bone-marrow or organ source of Y-chromosomal DNA |
Are you significantly shorter or taller than your parents and/or same sex siblings? | Full or partial sex-chromosome aneuploidy (45, X or 47, XXX) |
Did you conceive via assisted reproductive technology? | |
If yes, was a reason determined for your infertility? | Sex chromosome aneuploidy, X deletion |
Has a karyotype ever been performed on you? | Sex-chromosome aneuploidy, X deletion |
Did you need egg donation to become pregnant? | Disorder of sexual differentiation (e.g., Swyer syndrome) |