Congenital Adrenal Hyperplasia in Adults: A Review of Medical, Surgical and Psychological Issues

Cara Megan Ogilvie; Naomi S. Crouch; Gill Rumsby; Sarah M. Creighton; Lih-Mei Liao; Gerard S. Conway

Clin Endocrinol. 2006;64(1):2-11.

Conclusion

Optimal treatment of adults with CAH requires a multidisciplinary approach. We need to reconsider where our clinical energies should be placed to optimize long-term outcomes for this condition. Bone monitoring is, for the most part, unnecessary. Women with CAH should have early access to gynaecology review and both males and females should have ready access to specialist psychological support for managing the physical demands, social stigma and psychosexual difficulties associated with the disease. We should be continuing to follow-up men with CAH with greater vigilance on their biochemical markers of disease control. It is possible that, as our multidisciplinary treatment improves, more women will desire pregnancy and we will obtain more information about ovulation induction and subsequent pregnancy management.

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Reprint Address

Dr Gerard Conway, Department of Endocrinology, Middlesex Hospital, Cleveland Street, London W1T 3AA, UK. Tel.: + 44 2073809101; Fax: + 44 2073809201; E-mail: g.conway@ucl.ac.uk

Cite this: Congenital Adrenal Hyperplasia in Adults: A Review of Medical, Surgical and Psychological Issues - Medscape - Jan 01, 2006.

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