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Adrenal Hyperplasia

Get the facts on Adrenal Hyperplasia treatment, diagnosis, staging, causes, types, symptoms. Information and current news about clinical trials and trial-related data, Adrenal Hyperplasia prevention, screening, research, statistics and other Adrenal Hyperplasia related topics. We answer all your qestions about Adrenal Hyperplasia.

Question: How similar are PCOS and non-classical congenital adrenal hyperplasia? For almost 14 years it's seemed as though I've had PCOS. One doctor did suggest a possible adrenal disorder instead. I just had lab tests done and this doctor doesn't think I have PCOS(though I've been on Yasmin for years, could that make a difference in the tests?). So I looked up adrenal disorders and CAH came up. Any ideas of where to look or where to go from here(I'll bring this up at my next ob/gyn appt but I was just curious until then...).

Answer: First of all these 2 conditions differ greatly in the causative factors and therefore are treated very differently. CAH is the result of an enzyme deficiency and should be easy to rule out with testing, it is most common in Ashkanazi Jews. PCOS is known to be related to the insulin/glucose regulation in the body. PCOS is also though to be genetic, although not every woman with PCOS has a known geneic marker for it. The symptoms of non-classical CAH are similar to PCOS and include rapid growth and premature puberty in early childhood, excessive hair growth, irregular menstrual periods, acne, and sometimes, infertility in either males or females. As part of the standard diagnostic procedure for PCOS most physicians will run an adrenal function test (mine did) in order to rule out the less likely adrenal issues. Birth control pills should not have an impact on Adrenal testing but will have in impact on your hormone levels, lining thinckness and number of cysts in your ovaries. If you were diagnosed as having the presence of multiple cysts in your ovaries accompanied with other symptoms of PCOS (hair growth, absence of periods etc.), glucose tolerance, insulin intolerance or elevated testosterone levels then most likely your initial diagnosis of PCOS is correct. However if you were never tested for adrenal issues you should be, as the treatment for PCOS and non-classical CAH differ markedly. Current reccomendations are that a diagnosis of PCOS should only be made after ruling out other possibilities.

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