The most frequent mutations in individuals with fertility problems are those affecting the CFTR gene. These mutations are responsible for cystic fibrosis, and one of its manifestations is the absence of vas deferens in the testicles. Between 60 and 90% of infertile patients with absent vas deferens are carriers of this mutation.
Mutations in the AR gene, located on the X chromosome, cause a variety of defects collectively known as androgen insensitivity syndrome. Its product, the androgen receptor, plays an important role in meiotic progression and, possibly, in the formation of round spermatids. Mutations in AR cause azoospermia and affect 2% of the infertile patient population.