CONGENITAL DYSFUNCTION OF ADRENAL CORTEX AND PREGNANCY (SYSTEMATIC REVIEW)

Fertility in women with congenital dysfunction of the adrenal cortex (CDAC) due to the insufficiency of 21-hydroxylase (n21-OH) is presumed to decrease, especially in women with classic salt-losing type. Several factors contribute to the development of subfertility: an excess of androgens, adrenal hypersecretion of progesterone, the consequences of the reconstructive genital surgery, a syndrome of secondary polycystic ovaries and psychosexual factors. Adequate glucocorticoid therapy and the improvement of surgical and psychological care can contribute to the optimization of infertility in CDAC patients, even in classical variant women. This review contains up-to-date information on reproductive outcomes in CDAC women due to n21-OH, infertility and pregnancy problems.