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How should one proceed if a woman with CAH becomes pregnant and it is a girl?

By Marta Barranquero Gómez B.Sc., M.Sc. (embryologist).
Last Update: 07/05/2023

When a woman with congenital adrenal hyperplasia (CAH) becomes pregnant, she should follow all of her physician's instructions. Most commonly, a chorionic villus biopsy is performed in the 10th week of pregnancy or an amniocentesis in the 16th week to evaluate for mutations of the gene that causes CAH.

If the fetus is affected and is female, then the woman should be treated with dexamethasone throughout the pregnancy. On the other hand, this treatment would not be indicated if the fetus is male or if the fetus is female but does not have the mutation.

 Marta Barranquero Gómez
Marta Barranquero Gómez
B.Sc., M.Sc.
Embryologist
Graduated in Biochemistry and Biomedical Sciences by the University of Valencia (UV) and specialized in Assisted Reproduction by the University of Alcalá de Henares (UAH) in collaboration with Ginefiv and in Clinical Genetics by the University of Alcalá de Henares (UAH).
License: 3316-CV
Embryologist. Graduated in Biochemistry and Biomedical Sciences by the University of Valencia (UV) and specialized in Assisted Reproduction by the University of Alcalá de Henares (UAH) in collaboration with Ginefiv and in Clinical Genetics by the University of Alcalá de Henares (UAH). License: 3316-CV.