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There is increasing awareness for the need for multidisciplinary teams who have knowledge of CAH particularly with respect to gynaecological surgery and clinical psychology for women and testicular function in men.<\/jats:p><jats:p>Routine management of CAH comprises adjustment of glucocorticoid and mineralocorticoid treatment according to individual needs balancing biochemical markers, compliance and long term risks. Bone density is one such long term concern and is not greatly reduced in most individuals with CAH. More recently, attention has turned to cardiovascular risk factors and catecholamine deficiency in adults with CAH.<\/jats:p><jats:p>Women with CAH require access to an experienced gynaecologist, specialised pregnancy care and psychosexual support. The very low fertility rates for women with CAH previously reported appear to be improving with time. Men with CAH are often lost to follow up and therefore miss out on surveillance for hypogonadism either through the effect of adrenal rests of from suppression of gonadotrophins resulting in a high prevalence of oligospermia.<\/jats:p>","DOI":"10.1111\/j.1365-2265.2005.02410.x","type":"journal-article","created":{"date-parts":[[2005,12,1]],"date-time":"2005-12-01T18:08:54Z","timestamp":1133460534000},"page":"2-11","source":"Crossref","is-referenced-by-count":92,"title":["Congenital adrenal hyperplasia in adults: a review of medical, surgical and psychological issues"],"prefix":"10.1111","volume":"64","author":[{"given":"Cara Megan","family":"Ogilvie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naomi S.","family":"Crouch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gill","family":"Rumsby","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah M.","family":"Creighton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lih\u2010Mei","family":"Liao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerard S.","family":"Con Way","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,12]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1210\/er.21.3.245"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1011520600476"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra021561"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1210\/jcem-59-4-689"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardiores.2003.11.037"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2796.1995.tb00868.x"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2265.1996.00851.x"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/8756-3282(96)00003-8"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1530\/eje.0.1430667"},{"key":"e_1_2_7_11_2","doi-asserted-by":"crossref","first-page":"3025","DOI":"10.1210\/jcem.84.9.5950","article-title":"lipoprotein (a), body composition, and muscle strength in adolescent males","volume":"84","author":"Thorsen K.","year":"1999","journal-title":"Journal of Clinical Endocrinology and Metabolism"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1210\/er.2003-0003"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2265.1996.8620871.x"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1210\/jcem-65-3-499"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1159\/000075588"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0026-0495(88)90067-4"},{"key":"e_1_2_7_17_2","first-page":"867","article-title":"Glucocorticoids and insulin sensitivity in rheumatoid arthritis","volume":"31","author":"Dessein P.H.","year":"2004","journal-title":"Journal of Rheumatology"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.75.6.1421"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1053\/meta.2000.6261"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2265.2003.01757.x"},{"key":"e_1_2_7_21_2","doi-asserted-by":"crossref","first-page":"2114","DOI":"10.1210\/jcem.87.5.8456","article-title":"Children with classic congenital adrenal hyperplasia have elevated serum leptin concentrations and insulin resistance: potential clinical implications","volume":"87","author":"Charmandari E.","year":"2002","journal-title":"Journal of Clinical Endocrinology and Metabolism"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1136\/fn.82.3.F176"},{"key":"e_1_2_7_23_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2002-021129"},{"key":"e_1_2_7_24_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2002-35387"},{"key":"e_1_2_7_25_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198701223160402"},{"key":"e_1_2_7_26_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2265.2001.01359.x"},{"key":"e_1_2_7_27_2","doi-asserted-by":"crossref","unstructured":"Kuhnle U. 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