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Real members of CAHteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

Can classical woman concieve and if so what treatment have they been treated ?

A CAHteam Member asked a question 💭
St Vincent & the Grenadines
March 29
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A CAHteam Member

I am a virilizing classical cah I show signs as a baby with infused labia and enlarge clitoris had to do surgery when I was in my early teens (13 years old) vaginoplasty surgery and clitoroplasty at 17 years old of age
Main symptoms I have is hirutisim facial ,legs thighs beards mustache lower back hair also and infertility thick muscus discharge and irregular period .but my period would most skip the maximum for two months I experience before abd when I wass around 14 or 15 years old it did indeed skip a whole year but now its mostly a month mostly or two months most. Lately I am taking hydrocortisone 10mg 8a.m. and 5mg 4p.m. but my doctor said I have to take fludrocortisone along with the hydrocortisone but none in the country so my order is on the way which would be fludrocortisone 0.1mg for me to take

March 29
CAHteam2

Can women with classic CAH conceive?

Yes, women with classic CAH can conceive. As CAH research and fertility treatments have improved, fertility rates among women with classic CAH have reached as high as 90 percent, which is similar to the general population.

However, conception may be more challenging depending on the Show Full Answer

Can women with classic CAH conceive?

Yes, women with classic CAH can conceive. As CAH research and fertility treatments have improved, fertility rates among women with classic CAH have reached as high as 90 percent, which is similar to the general population.

However, conception may be more challenging depending on the severity. Studies show that less than 10 percent of women with salt-wasting CAH (the more severe form) become pregnant, while about 41 percent of those with simple-virilizing CAH (less severe form) become pregnant.

What makes conception harder?

Several factors can affect fertility:

- High androgen levels disrupt ovarian function and hormone balance
- Excess androgens can convert to estrogen, stopping the release of hormones needed for ovulation
- High progesterone levels can thicken cervical mucus, making it harder for sperm to travel
- About 40 percent of women with nonclassic CAH also have PCOS, which affects fertility
- Uncomfortable sex due to anatomical factors or pain can reduce chances of natural conception

What treatments help?

Women with classic CAH who want to conceive should work closely with their endocrinologist and OB-GYN. Treatment options include:

- Adjusting glucocorticoid doses during early pregnancy
- Fertility treatments like in vitro fertilization (IVF) if needed
- Working with a fertility specialist to address specific challenges

Many women with classic CAH do have normal pregnancies with proper medical support.

March 29

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