Extreme sensitivity is needed so that they can discuss how they can improve what they may see as an inadequacy of their body. There are some women with CAH who are more comfortable with bisexual and homosexual relationships but this may in some cases, have more to do with their concerns about the appearance of their genitalia, with feelings of vulnerability porn on tivo apprehension of a sexual relationship with cah and vaginal development. However, it is often why in late teenage years or later that gender preferences become obvious. She may find it very difficult to be comfortable with her body, be anxious about the prospect of sexual activity and unable to see it as something pleasurable.
************** Professor Gerard Conway
Anti-androgens cah and vaginal development often given together with the combined oral contraceptive pill which reduces the amount of testosterone made by the ovary. Great care must be taken as any damage to the bladder could cause incontinence. The vagina may be covered with a small membrane and the clitoris is nearly always enlarged. Cah and vaginal development applying gentle but firm pressure to the vaginal opening by inserting a plastic dilator and, over a period of time, gradually introducing a larger size of the dilator, the size of the vagina will increase.
Reducing cah and vaginal development with higher dose of cortisol treatment can reduce excessive sex drive. Spironolactone should not be used for women with CAH because it interferes with the action of fludrocortisone. If the vagina is positioned high near the bladder there can be the possibility of damage to the neck of the bladder, which controls cah and vaginal development release of urine. Extreme sensitivity is needed so that they can discuss how they can improve what they may see as an inadequacy of their body. Sensitive discussion with specialists, general practitioners, fertility specialists, gynaecologists, counsellors, psychologists and CAH support groups can all be helpful.