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Sex-linked genetic disorders

Genetics · Inheritance · note 8 of 8

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Sex-linked genetic disordersSpec 3.18B

In short

A sex-linked genetic disorder is caused by an allele on a sex chromosome, usually a recessive allele on the X chromosome, as in haemophilia. Males have only one X chromosome, so one copy of the recessive allele causes the disorder. Females need two copies, and with one copy they are carriers. So sex-linked disorders are more common in males.

A sex-linked genetic disorder is caused by an allele on a sex chromosome. Most are caused by a recessive allele on the X chromosome. Haemophilia is an example.

  • Males (XY) have only one X chromosome, so one copy of the recessive allele is enough to cause the disorder. The Y chromosome does not carry a matching allele.
  • Females (XX) have two X chromosomes. They need two copies of the recessive allele to have the disorder. With one copy they are carriers.
  • This is why sex-linked disorders are more common in males.
Carrier mother (XHXh) and unaffected father (XHY)
XH (egg)Xh (egg)
XH (sperm)XHXH unaffected femaleXHXh carrier female
Y (sperm)XHY unaffected maleXhY affected male

Here XH is an X chromosome carrying the dominant normal allele (H) and Xh is an X chromosome carrying the recessive allele for haemophilia (h). The probability that a son has haemophilia is 50%. No daughters are affected, but half are carriers. An affected father passes his X to every daughter and his Y to every son, so his sons do not inherit the disorder from him.

Exam tip:

Write the allele next to the X chromosome, for example XhY (exam papers print the h small and raised). Show the Y with no allele.

Quick check

  1. What is an allele?

    Show answer

    A different version of the same gene.

  2. What is the difference between genotype and phenotype?

    Show answer

    Genotype is the alleles an organism has. Phenotype is the observable characteristic that is expressed.

  3. Which sex chromosomes do human females and males have?

    Show answer

    Females XX, males XY.

  4. Two parents without a disorder have an affected child. Is the allele dominant or recessive?

    Show answer

    Recessive, and both parents are carriers.

  5. What is codominance?

    Show answer

    Both alleles are expressed in the phenotype when both are present, as with IA and IB giving blood group AB.

Written and checked against the Edexcel GCSE Biology (1BI0) specification · Updated October 2026

Frequently asked questions

What is a genotype and phenotype?

A genotype is the alleles an organism has for a gene, such as Tt. A phenotype is the characteristics that are expressed and can be observed, such as being tall. A heterozygous plant, Tt, has the phenotype of the dominant allele, so it is tall even though it also carries the allele for short.

What is a Punnett square used for in genetics?

A Punnett square is used to show the possible offspring of a genetic cross. The gametes from each parent are written along two sides, then combined in the boxes to give the possible genotypes. Counting the boxes gives the ratio, probability or percentage of each genotype and phenotype in the offspring.

What is the difference between homozygous and heterozygous?

Homozygous means having two identical alleles of a gene, such as TT or tt. Heterozygous means having two different alleles of a gene, such as Tt. A heterozygous organism shows the dominant characteristic, because a dominant allele is expressed in the phenotype even when only one copy is present.

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