How to manage puberty and prevent fertility disorders in men with CAH? - 28/05/22
Abstract |
Gonadal dysfunction is an adverse outcome in patients with congenital adrenal hyperplasia (CAH), which may become apparent already during puberty. In males, gonadal dysfunction can be caused by primary gonadal failure due to testicular adrenal rest tumours (TART), and by secondary gonadal failure due to poor hormonal control. Yearly evaluation for TART using ultrasonography is recommended from the start of puberty or even earlier when poor hormonal control is present. We recommend yearly evaluation of gonadal function by measuring LH, FSH, testosterone, and inhibin B. When TART is present, cryopreservation of semen should be considered as soon as possible.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Congenital adrenal hyperplasia, 21OH deficiency, infertility, Testiculars adrenal rest tumors, hypogonadism
Abbreviations : CAH, TART, 21OHD, 17OHP, P
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Vol 83 - N° 3
P. 186-187 - Giugno 2022 Ritorno al numeroBenvenuto su EM|consulte, il riferimento dei professionisti della salute.