When a Father and a Mother create a child the Mother gives one of the two X chromosomes that she
has. The Father gives either the X or the Y chromosome, an X produces a girl, a Y produces a boy. So
as illustrated above they have a 50% chance of having a boy and a 50% chance of having a girl.
HEMOPHILIA GENETICS
Hemophilia is carried on the X chromosome. It is called an X linked genetic disorder. A women who
is a carrier for hemophilia has the genetic mutation on one of her X chromosomes as illustrated
above. She will have another non mutated X chromosome that will usually somewhat compensate for
the defect in the other. It is not uncommon for women who carry the hemophilia gene to have low
levels of clotting factor and have bleeding problems. A man who has hemophilia has the genetic
mutation on his only X chromosome. He does not have another X chromosome to compensate for the
defect so he will have hemophilia. 2/3rds of the cases of hemophilia are inherited. The other 1/3 occur
with no family history and are called spontaneous genetic mutations. The spontaneous genetic
mutation may either occur in a female fetus or a male fetus. The female fetus will become a carrier of
hemophilia. The male fetus will become a person affected by hemophilia.
When a Mother who is a carrier and an unaffected Father create a child there are four possible
outcomes for each pregnancy. As illustrated above, they can have a son without hemophilia, a
daughter who is not a carrier, a son with hemophilia or a daughter who is a carrier. With each
pregnancy there is an equal chance of each of these outcomes. Whether the sons have hemophilia or
the daughters are carriers depends upon which X chromosome they receive from the mother.
This is a very rare situation. When a father who has hemophilia and a mother who is a carrier create a
child there are four possible outcomes for each pregnancy. This depends on which X or Y
chromosome the children receive from the father and which of the two X chromosomes the children
receive from the mother. As illustrated above they can have a son without hemophilia, a daughter
who has hemophilia, a son with hemophilia or a daughter who is a carrier. With each pregnancy there
is an equal chance of each of these outcomes.
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