The persistent Mullerian duct syndrome, characterized by the presence
of uterus and tubes in otherwise normally masculinized 46,XY males, is
a familial autosomal recessive disorder due to defects of synthesis o
r action of anti-Mullerian hormone. We have performed molecular studie
s in a fetal of 38 families and we have identified the basis of the co
ndition, namely 16 anti-Mullerian hormone and 16 anti-Mullerian hormon
e receptor mutations, in 32 families.