Causes of Subfertility in Males With CAH

The most frequently reported cause of subfertility in males with CAH is the presence of adrenal rest tumors in the testes (5,6,9). These tumors may interfere directly (mechanically or paracrine) or indirectly (endocrine) with testicular function (10,11). Subfertility can also be caused by gonadotropin deficiency resulting from suppression of the hypothalamic-pituitary-gonadal axis by adrenal androgens (both directly and after conversion to estrogens) (12-14). Other testicular abnormalities and psychological problems may also be important (2). The next sections focus on these topics separately, although in practice, these factors may not be separated easily.

Eliminating Stress and Anxiety From Your Life

Eliminating Stress and Anxiety From Your Life

It seems like you hear it all the time from nearly every one you know I'm SO stressed out!? Pressures abound in this world today. Those pressures cause stress and anxiety, and often we are ill-equipped to deal with those stressors that trigger anxiety and other feelings that can make us sick. Literally, sick.

Get My Free Ebook


Post a comment