Congenital Adrenal Hyperplasia (CAH)

This condition can cause virilization of XX female viagra Australia here or undervirilization of XY males. Females are likely to show signs of female pseudohermaphroditism with signs of masculinization at birth, clitoromegally (enlarged clitoris, simulating a penis), varying degrees of fusion of the labial-scrotal folds and, sometimes, a urethral fistula. Surgery may be undertaken with great care during the neonatal period and may be required again during adolescence. As with all surgery for intersex disorders, the precise timing is open to debate as is the degree to which the patient – rather than her parents and physicians – is involved in the decision-making process.

Females with CAH invariably have polycystic ovaries and a tendency to express a PCOS-like condition. One of the best indicators of good therapeutic control of CAH, and hence avoidance of infertility, is a regular menstrual cycle. Males appear normal at birth and develop premature physical sexual development over the first five years of life.

Summary

Fertility may be affected by a wide range of either congenital or acquired conditions in childhood and adolescence. While the consequences of these conditions may not become functionally viagra sildenafil cirtate Canada pharmacy until adulthood, the fertility consequences must not be ignored as early intervention may minimize the extent of reduction in fertility capacity and may help individuals come to terms with opportunities available to them in later years.

Notes

1. Gonadotrophin is a hormone capable of producing gonadal (sex organ, i.e. ovary or testicle) growth and function.
2. Not properly developing and releasing a mature egg every month. 3 Having a large number of blood vessels.
3. Hormone that controls the development and maintenance of masculine characteristics.
4. The connective supportive framework of a cell, tissue or organ.
5. Benign condition where the lining of the uterus (endometrium) grows too much.
6. Accumulation of menstrual blood in the vagina.
7. Accumulation of blood in the uterus.
8. Surgical procedure used to reshape the uterus and uterine cavity.
9. Absence of both testes at birth.
10. No sperm present in the ejaculate.
11. Pertaining to any chromosome that is not a sex chromosome.
12. Having too few sperm.
13. Mass of enlarged veins that develops in the spermatic cord.
14. Hernia in the groin.
15. Congenital abnormality where external genitalia of a male or female resemble those of the opposite sex.

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