Testicular adrenal rest tumor screening and fertility counseling among males with congenital adrenal hyperplasia

Reduced fertility is a common potential problem among males with congenital adrenal hyperplasia (CAH), with nearly half experiencing impaired sperm production. The major cause of oligo/azoospermia in CAH is testicular adrenal rest tumors (TARTs). Studies indicate that ultrasound screening for TARTs should begin during childhood, yet it remains unclear whether boys with CAH are routinely screened for TARTs and/or counseled about infertility risk and potential interventions such as fertility testing and/or preservation.
Source: Journal of Pediatric Urology - Category: Urology & Nephrology Authors: Source Type: research