Congenital Adrenal hyperplasia indicates a group of genetic disorders that affects the adrenal glands. Adrenal hyperplasia is an inherited disorder with low cortisol levels and high levels of male hormones, which affects the normal growth and development of children. There is a development of male characters in females and early puberty seen in both boys and girls. They can be treated by giving hormone replacement therapy or with reconstruction surgery.
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Query: Hello doctor,I am 19, exercise regularly and eat healthy, yet my blood pressure is always very high at the doctor. He says this is only because of my anxiety disorder. It has been as high as 168/110 before. He did a physical and CBC, thyroid, glucose, and kidney function test and they all came back ... Read Full »
Answer: Hi, Welcome to icliniq.com. Hypertension at your age is not usual and if it is present, a few things need to be evaluated thoroughly, especially your kidneys and your adrenal glands. A renal function test will not be helpful in this case. An MRI or ultrasound of the kidneys would be required to rule... Read Full »
Query: Hi doctor, I am a 74 year old male. For the past two years I am house-ridden, but not bedridden yet. I feel tired after walking a mere half a kilometer. I walk with the help of a walking stick, because I lose balance while walking. Sometimes I feel orthostatic hypotension. I consulted a cardiol... Read Full »
Query: Hello doctor, I am a 36 year old male. I suddenly developed sexual dysfunction, I have reduced interest, arousal, plateau, and orgasm. The triggering event seems to be the discontinuation of 150 mg Bupropion because of adverse effects. I switched to 20 mg Citalopram, and over the course of six month... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and from the history you gave and the levels of testosterone you mentioned, it is very high level of serum testosterone. There are usually some males who normally have high testosterone levels without any major underlying disease. I will discuss ... Read Full »
Query: Hi doctor, I could not lose weight no matter what I do. I have acne on my chin and cheeks, increased facial hair and my hips, thighs and stomach will not lean out both with exercise and diet. I was told to take Nature-Thyroid for low T3, but felt like my throat swollen up when I take it. It would ma... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for providing a good history. First of all I want you to take a deep breath and relax. If you could please answer these questions it would be very helpful. Have you been diagnosed with PCOS (polycystic ovarian syndrome)? Is this the reason for hormones? ... Read Full »
Query: Hi doctor, I have had PCOS for over a decade now. I initially saw a gynecologist who tried oral contraceptive pills, microgynon, and spironolactone. She did a battery of blood tests and ultrasounds to confirm I have the condition. A general physician prescribed Metformin a few years back. All of the... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned, it appears that you have a 21-hydroxylase deficiency and that causes an excess of testosterone and androstenedione causing virilization of females and PCOS. This is the cause of your hirsutism and insulin resis... Read Full »