Signs and symptoms of CAH vary, depending on which gene is affected and the level of enzyme deficiency. The imbalance of hormones the body needs to function may mean too little cortisol, too little aldosterone, excess androgens or a combination of these imbalances. CAH Classic CAH Signs and symptoms of classic CAH may include: CAH  Insufficient cortisol. Classic CAH causes the body to produce an insufficient amount of cortisol. This can cause problems maintaining normal blood pressure, blood sugar and energy levels, and cause problems during physical stress such as illness. Adrenal crisis. People with classic CAH can be seriously affected by a lack of cortisol, aldosterone or both. This is known as an adrenal crisis, and it can be life-threatening.  Atypical genitalia. Female infants may have atypical genitalia appearance, such as an enlarged clitoris that may resemble a penis, and a partially closed labia resembling a scrotum. The urinary opening (urethra) and the vagina may be only one opening instead of two separate openings. The uterus, fallopian tubes and ovaries usually develop typically. Male infants usually have typical-appearing genitals.   Excess androgen. An excess of the male sex hormone androgen can result in short height and early puberty for both males and females. Pubic hair and other signs of puberty may appear at a very early age. Severe acne also may occur. Excess androgen hormones in females may result in facial hair, excessive body hair and a deepening voice.  Altered growth. Rapid growth may occur during childhood with an advanced bone age. Final height may be shorter than average. Fertility issues. These can include irregular menstrual periods, or not having any at all, and having infertility problems in females. Fertility issues can sometimes occur in males.  Nonclassic CAH Often there are no symptoms of nonclassic CAH when a baby is born. Some people with nonclassic CAH never have symptoms. The condition is not identified on routine infant blood screening and usually becomes evident in late childhood or early adulthood. Cortisol may be the only hormone that's deficient. CAH CAH Females who have nonclassic CAH may have typical-appearing genitals at birth. Later in life, they may experience: CAH  Irregular menstrual periods, or not having any at all, and problems getting pregnant Masculine characteristics such as facial hair, excessive body hair and a deepening voice  In both females and males, signs of nonclassic CAH may also include: CAH  Early appearance of pubic hair and other signs of early puberty Severe acne Rapid growth during childhood with an advanced bone age and shorter than expected final height 
signs symptoms cah vary  depending gene affected level enzyme deficiency  imbalance hormones body needs function may mean little cortisol  little aldosterone  excess androgens combination imbalances  cah classic cah signs symptoms classic cah may include: cah  insufficient cortisol  classic cah causes body produce insufficient amount cortisol  can cause problems maintaining normal blood pressure  blood sugar energy levels  cause problems physical stress illness  adrenal crisis  people classic cah can seriously affected lack cortisol  aldosterone both  known adrenal crisis  can life-threatening   atypical genitalia  female infants may atypical genitalia appearance  enlarged clitoris may resemble penis  partially closed labia resembling scrotum  urinary opening (urethra) vagina may only opening separate openings  uterus  fallopian tubes ovaries develop typically  male infants typical-appearing genitals    excess androgen  excess male sex hormone androgen can result short height early puberty males females  pubic hair signs puberty may early age  severe acne may occur  excess androgen hormones females may result facial hair  excessive body hair deepening voice   altered growth  rapid growth may occur childhood advanced bone age  final height may shorter average  fertility issues  can include irregular menstrual periods  all  infertility problems females  fertility issues can occur males   nonclassic cah symptoms nonclassic cah baby born  people nonclassic cah symptoms  condition identified routine infant blood screening evident late childhood early adulthood  cortisol may only hormone that's deficient  cah cah females who nonclassic cah may typical-appearing genitals birth  later life  may experience: cah  irregular menstrual periods  all  problems pregnant masculine characteristics facial hair  excessive body hair deepening voice  females males  signs nonclassic cah may include: cah  early appearance pubic hair signs early puberty severe acne rapid growth childhood advanced bone age shorter expected final height 
congenital adrenal hyperplasia