KS3 & GCSE Science · GCSE

Sex Determination and Sex-Linked Inheritance: GCSE Biology

Sex is determined by X and Y chromosomes. This GCSE guide explains sex-linked inheritance, haemophilia, and how to draw inheritance diagrams for sex-linked traits.

Duke Harewood — author of AI Tutors for Key Stage 3Updated 6 min read

On this page

Short answer

Sex in humans is determined by the sex chromosomes: females are XX and males are XY. The Y chromosome carries far fewer genes than X, so genes on the X without Y equivalents are called sex-linked. Males have only one copy of these genes and always express a recessive sex-linked allele.

At a glance

Key stage
GCSE
Subject
Biology
Type
Guide
For
Students
Read time
6 min
Last updated
17 September 2026

Where this fits

  1. Key Stage 3Years 7–9
  2. GCSEYears 10–11This article
This article is aimed at GCSE (Years 10–11), the stage after Key Stage 3 (Years 7–9).

Method at a glance

  1. Identify the alleles
  2. Write the parental genotypes
  3. Show gamete formation
  4. Complete the Punnett square
  5. State the probabilities
The 5 numbered steps in this article, in order.

How is sex determined in humans?

Humans have 23 pairs of chromosomes in each body cell. Twenty-two of these pairs are autosomes — the same in males and females. The 23rd pair is the sex chromosomes:

  • Females: XX (two X chromosomes)
  • Males: XY (one X and one Y chromosome)

During meiosis, gametes are produced. Every egg cell contains one X chromosome. Sperm cells contain either an X or a Y chromosome.

Crossing diagram:

X (egg) X (egg)
X (sperm) XX (female) XX (female)
Y (sperm) XY (male) XY (male)

This shows a 1:1 ratio of male to female offspring — a 50% chance of each sex in any pregnancy. The sex of the offspring is determined by which sperm fertilises the egg; the mother's contribution is always an X.

What makes a gene sex-linked?

A sex-linked gene is one carried on a sex chromosome — most commonly on the X chromosome (X-linked). Because the Y chromosome is very small and carries few genes (mostly those involved in male development), the Y chromosome does not carry matching alleles for most X-linked genes.

This creates an asymmetry:

  • Females (XX) have two copies of every X-linked gene and can be homozygous or heterozygous.
  • Males (XY) have only one copy of every X-linked gene (carried on their single X chromosome). This is called being hemizygous.

The consequence: a male with a recessive allele on his X chromosome will always express the trait — there is no second allele to mask it. A female needs two copies of the recessive allele to show the trait.

What is haemophilia and how is it inherited?

Haemophilia A is an X-linked recessive condition in which the blood lacks a clotting factor (Factor VIII). People with haemophilia bleed for much longer than normal after injury.

Notation:

  • X^H = dominant allele (clotting factor present, unaffected)
  • X^h = recessive allele (clotting factor absent, haemophilia)
Genotype Sex Phenotype
X^H X^H Female Unaffected
X^H X^h Female Carrier (unaffected but carries the allele)
X^h X^h Female Haemophilia (rare)
X^H Y Male Unaffected
X^h Y Male Haemophilia

Worked inheritance diagram — carrier mother × unaffected father:

X^H (from father) Y (from father)
X^H (from mother) X^H X^H (unaffected female) X^H Y (unaffected male)
X^h (from mother) X^H X^h (carrier female) X^h Y (haemophilia male)
  • Probability of a son having haemophilia: 1 in 2 (50%)
  • Probability of a daughter being a carrier: 1 in 2 (50%)
  • Probability of any child being affected: 1 in 4 (25%)

Why are males more commonly affected by X-linked recessive conditions?

Males have only one X chromosome. If that X carries a recessive allele (such as X^h), there is no second X to provide a dominant allele to mask it. The male always expresses an X-linked recessive allele, regardless of whether it is "dominant" or "recessive" in a conventional sense — those terms only apply when there are two alleles to compare.

Females require two copies of the recessive allele (X^h X^h) to be affected. Since this requires inheriting a recessive allele from both parents, it is statistically less likely — especially for rarer conditions. A female with one X^h allele is a carrier: she does not show symptoms but can pass the allele to her children.

What other conditions are X-linked?

Condition Chromosome Type Description
Haemophilia A X Recessive Clotting factor VIII deficiency
Red-green colour blindness X Recessive Cannot distinguish red from green wavelengths
Duchenne muscular dystrophy X Recessive Progressive muscle wasting
Fragile X syndrome X Dominant with variable expression Learning difficulties

Red-green colour blindness is much more common in males (~8% of males, ~0.5% of females) for exactly the same reason as haemophilia — males only need one X carrying the recessive allele to be colour-blind.

How do you draw a sex-linked inheritance diagram?

  1. Identify the alleles using superscript notation: X^A (dominant) and X^a (recessive).
  2. Write the parental genotypes, including the Y chromosome for males (e.g. X^A Y, not just X^A).
  3. Show gamete formation — females produce two types of egg (X^A and X^a), males produce X^A sperm and Y sperm.
  4. Complete the Punnett square with all four combinations.
  5. State the probabilities for each phenotype in both males and females separately.

Common exam mistake: writing the male genotype without the Y chromosome (e.g. just X^A instead of X^A Y). Always include the Y to make sex-linkage clear and to show that males are hemizygous.

Frequently asked questions

What does it mean to be a carrier of a sex-linked condition?

A carrier is a female (XX) with one dominant allele and one recessive allele for an X-linked condition (e.g. X^H X^h for haemophilia). She does not show symptoms because the dominant allele provides enough of the functional protein. However, she can pass the recessive allele to her children: a son who inherits it will be affected; a daughter who inherits it will be a carrier herself. Males cannot be carriers — if they have the recessive allele, they will show the condition.

Why can't fathers pass X-linked conditions to their sons?

A father passes his Y chromosome to his sons (XY → Y to son) and his X chromosome to his daughters (XY → X to daughter). Therefore, X-linked conditions cannot be passed from father to son. A man with haemophilia will not have affected sons — unless the sons' mother is also a carrier or affected. He will, however, pass the condition to all of his daughters (they all inherit his X^h), making all of them carriers.

How is red-green colour blindness different from haemophilia in its inheritance?

Both are X-linked recessive conditions and follow the same inheritance rules. The difference is in frequency: the recessive allele for red-green colour blindness is more common in the population (~8% of all X chromosomes), so it appears in about 8% of males and about 0.6% of females. Haemophilia is much rarer. Both conditions are more common in males because males are hemizygous for X-linked genes — one copy of the recessive allele is sufficient for expression.

Can females ever be affected by X-linked recessive conditions?

Yes, but it is rare. A female must inherit the recessive allele on both X chromosomes (X^a X^a) to show the condition. This can only happen if her father is affected (X^a Y) and her mother is at least a carrier (X^A X^a). For common X-linked conditions like colour blindness, this does happen — about 0.6% of females are colour-blind. For rarer conditions like haemophilia, homozygous affected females are extremely uncommon.

For genetics questions that build from first principles — without memorising patterns — explore Professor Darwin at aitutors.me.

Key terms

  • autosomes
  • sex chromosomes
  • Females
  • Males
  • Crossing diagram
  • X (sperm)
  • Y (sperm)
  • sex-linked gene

Sources