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Non-Classical Adrenal Hyperplasia Treatment

Congenital adrenal hyperplasia (CAH) is characterized by improper hormone production in the adrenal glands. This can lead to abnormal development in both sexes—including the genitals. NCAH (non-classical adrenal hyperplasia)—also known as late-onset CAH--is a subtype of CAH and can manifest anytime from early childhood to early adulthood.

  1. Goal of Treatment

    • Treatment involves addressing hormonal imbalances and treating the resulting symptoms.

    Doctor

    • You need to work with an endocrinologist—hormone specialist—to treat this condition, rather than a regular doctor, according to CARES.

    Hormone Replacement

    • Taking cortisol hormones every day is the primary treatment. This will replenish the deficiency produced by NCAH, according to the American Academy of Family Physicians.

    Testing

    • Doctors will perform certain tests to assess adrenal hormone levels. They might also do a bone scan to see if NCAH is affecting bone growth.

    Importance of Treatment

    • Failure to treat this condition early can lead to several problems. It can be difficult to curb excess facial hair in girls if treatment starts after puberty. Bones stop growing early—leading to decreased height. Decreased fertility in females can result. Lastly, early puberty can have negative mental and emotional effects on young children, according to CARES.

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