“…Mutations in the NR5A1 gene (MIM 184757; encoding steroidogenic factor 1 [SF-1]) have been associated with a spectrum of phenotypes ranging from primary adrenal insufficiency (AI) and complete 46,XY gonadal dysgenesis (6,7), to 46,XX primary AI, 46,XY DSD (disorders of sex development) including hypospadias (8,9), bilateral anorchia (10,11), hypogonadotropic hypogonadism (12), and primary ovarian failure (13)(14)(15)(16). Furthermore, according to the pivotal role of NR5A1 in regulating sex determination and differentiation, testicular descent, and reproduction (6,17), mutations in this gene have been recently associated in preliminary studies with severe forms of male factor infertility (18)(19)(20), with a frequency ranging from 0.7% (19), to 2.2% (20), to 3.5% (18).…”