Fertility in patients with congenital adrenal hyperplasia
Fertility in patients with congenital
adrenal hyperplasia
Mohajeri Tehrani M.D.
Professor of Endocrinology & Metabolism
Tehran University of Medical Sciences
Topics
- CAH management before pregnancy
- CAH management during pregnancy
- CAH management in male
Vignette Case
- A 30 years old woman with salt wasting classic CAH who presented at birth with ambiguous genitalia now presents requesting fertility support.
- She use prednisolone Tab7.5 mg/d & fludrocortisone Tab 0.1/d
- Continue the same dose of prednisolone & fludrocortisone
- Change to Dexamethasone &fludrocortisone
- Change to Hydrocortisone without fludrocortisone
- Continue the same dose of prednisolone without fludrocortisone
