the Genetic Risk of Asperger's Syndrome in Future Children - Psychiatry

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Asperger's syndrome


I would like to ask the doctor, what is the likelihood of inheriting this symptom? I am the male partner, and both of our families are generally healthy.
My girlfriend's brother has Asperger's syndrome, which is inherited from their mother.
My girlfriend and her father do not have this condition; my girlfriend is normal.
However, I am concerned that there may be a recessive gene involved.
If we get married and have children, is it possible that they could also have Asperger's syndrome? My family is worried that the child may have a difficult life and is urging me to carefully choose my partner.
What should I do?

Hei Hei, 20~29 year old female. Ask Date: 2018/04/09

Dr. Liang Sunyuan reply Psychiatry


Hello: Asperger's syndrome is classified as part of the autism spectrum disorders.
Currently, the prevalence of autism spectrum disorders is approximately 0.5%, and the likelihood of one sibling having this condition if another sibling has it is about 5%.
If you marry and have children, the chance of your child having this condition would be between 0.5% and 5%.
Society, education, and healthcare have been continuously improving, and it is believed that in the future, there will be even more inclusivity and support for children with special needs than there is now.

Reply Date: 2018/04/09

More Info


Asperger's Syndrome, now classified under the broader category of Autism Spectrum Disorder (ASD), is a neurodevelopmental condition characterized by difficulties in social interaction, communication challenges, and restricted or repetitive patterns of behavior and interests. The genetic basis of Asperger's Syndrome is complex and not fully understood, but there is evidence suggesting a hereditary component.

In your case, since your girlfriend's brother has Asperger's Syndrome, it raises valid concerns about the potential genetic risks for your future children. While the exact inheritance patterns of Asperger's and other autism spectrum disorders are not straightforward, studies indicate that having a family member with ASD can increase the likelihood of other family members being affected. However, it is important to note that the majority of individuals with Asperger's Syndrome do not have a direct family history of the condition.

The risk of having a child with Asperger's Syndrome or other forms of autism can be influenced by several factors, including parental age, environmental factors, and genetic predispositions. While having a sibling with Asperger's may suggest a higher risk, it does not guarantee that your children will inherit the condition. The presence of "hidden" or recessive genes in your girlfriend's family is a possibility, but it is not definitive.

To address your concerns, it would be beneficial to consider genetic counseling. A genetic counselor can provide you with a clearer understanding of the risks based on your family histories and can help you interpret the implications of having a family member with Asperger's Syndrome. They can also discuss the possibility of genetic testing, which may provide additional insights into your potential risks.

In terms of planning for the future, it is essential to focus on the well-being of any potential children. If you and your girlfriend decide to have children, early intervention and support can significantly improve outcomes for children who may exhibit signs of autism or related conditions. Awareness and education about Asperger's Syndrome can also help in creating a supportive environment for your future children.

Ultimately, while the genetic risk is a valid concern, it should not be the sole factor in your decision-making process regarding marriage and family planning. Open communication with your partner, family, and healthcare professionals will be crucial in navigating these concerns. Remember that many individuals with Asperger's Syndrome lead fulfilling lives, and with the right support, children can thrive regardless of their genetic background.

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