What are the indications for surgical intervention in the treatment of congenital adrenal hyperplasia (CAH)?

Updated: Oct 06, 2020
  • Author: Thomas A Wilson, MD; Chief Editor: Sasigarn A Bowden, MD  more...
  • Print

Infants with ambiguous genitalia require surgical evaluation and, if needed, plans for corrective surgery. The traditional approach to the female patient with ambiguous genitalia due to adrenal hyperplasia is clitoral recession early in life followed by vaginoplasty after puberty. [8]

Vocal groups of patients with disorders of sexual differentiation (eg, Intersex Society of North America) have recently challenged this approach.

Some female infants with adrenal hyperplasia have only mild virilization and may not require corrective surgery if they receive adequate medical therapy to prevent further virilization.

Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!