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Living with Congenital adrenal hyperplasia

A group of genetic conditions of the adrenal glands, which make too little of some hormones and too much of others.

Understanding Congenital adrenal hyperplasia

Congenital adrenal hyperplasia (CAH) is a group of genetic conditions that affect the adrenal glands.

The adrenal glands sit on top of the kidneys and make hormones the body needs. People with CAH lack an enzyme needed for one or more of these hormones and often make too much androgen (such as testosterone). Severe forms may be seen soon after birth with dehydration, poor feeding, diarrhea and vomiting. Milder forms may not be found until the teen or adult years.

Signs & symptoms

Symptoms vary from person to person. GARD's summary describes these:

  • Ambiguous genitalia at birth in girls with severe forms
  • Dehydration soon after birth
  • Poor feeding
  • Vomiting and diarrhea
  • Early signs of puberty
  • Fertility problems

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and hormone specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    CARES Foundation and National Adrenal Diseases Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Hormone specialists (endocrinologists)
Expert care
Expert lists: CARES Foundation, National Adrenal Diseases Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with CARES Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which enzyme is affected, and which type do I or my child have?
Which hormone treatment and monitoring will we need?
Should we have genetic testing for our family?

Quick facts

InheritanceAutosomal Recessive

It is caused by changes in genes that affect an enzyme the adrenal glands need. It is autosomal recessive, so a child inherits a changed copy from each parent.

GeneticEndocrine

Also known as: adrenal hyperplasia, congenital; cah; cah - congenital adrenal hyperplasia; congenital adrenal gland hyperplasia; congenital adrenogenital syndrome

Patient organizations

Source: NIH GARD · Congenital adrenal hyperplasiaGARD ID 1467 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Congenital adrenal hyperplasia.

Explore the Congenital adrenal hyperplasia blog

Explore research for Congenital adrenal hyperplasia

Explore actively recruiting Congenital adrenal hyperplasia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Congenital adrenal hyperplasia with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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