How Do Doctors Treat Congenital Adrenal Hypoplasia (CAH)?

Treatment for CAH includes:

  • Hormone replacement. This can include replacing cortisol alone or with aldosterone. Hormone replacement medications are given by mouth. It is very important to take them every day or your child can get very sick. Cortisol is usually replaced with hydrocortisone 3 times per day. After your child is done growing, they will switch to different cortisol replacements called prednisone or dexamethasone. Aldosterone is usually replaced with fludrocortisone.
  • Monitor your child’s bone age. The care team will check your child’s bone growth through an X-ray of the left hand.
  • In babies, salt replacement. Salt replacement comes as a liquid or a pill. It helps maintain normal salt levels in the blood.

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