Nonclassical Congenital Adrenal Hyperplasia and Pregnancy
January 2015
in “
Case reports in endocrinology
”
TLDR Women with nonclassical congenital adrenal hyperplasia may have a higher risk of fertility issues and miscarriages, and should get genetic counseling.
In the 2015 case report, researchers examined a 32-year-old female with nonclassical congenital adrenal hyperplasia (NC-CAH) who experienced one healthy birth, one ectopic twin pregnancy with intrauterine exitus, and one miscarriage. NC-CAH, a milder form of CAH, can lead to subfertility and increased miscarriage risk. Both the patient and her husband carried mutations in the CYP21A2 gene, raising the risk of having a child with classical CAH (C-CAH). The report underscored the importance of genetic counseling for NC-CAH couples due to the C-CAH risk in offspring. The patient was to be treated upon pregnancy confirmation as per Endocrine Society guidelines, highlighting the need for awareness and management in NC-CAH females to mitigate risks to the infant.
