Center for Congenital Adrenal Hyperplasia (CAH) and Disorders of Sex Development (DSD)
The Center for Congenital Adrenal Hyperplasia (CAH) and Disorders of Sex Development (DSD), is a multidisciplinary clinical care and research facility that is built upon a unique collaboration between healthcare professionals at the M Health Fairview Masonic Children's Hospital and the Minnesota Department of Health Newborn Screening program (MDH-NBS).
Clinical research participation opportunities are available to eligible subjects for new monitoring and treatment modalities. The Center also serves as a resource for educational materials geared toward patients, parents and primary care providers.
Conditions We Treat
The Center addresses the varied and long-term spectrum of clinical needs for patients with CAH and other rare disorders of sex development:
- Congenital Adrenal Hyperplasia
- Turner Syndrome
- Ambiguous Genitalia
- 5-Reductase Deficiency
- Androgen Insensitivity Syndrome
- Gonadal Dysgenesis
- Kallmann Syndrome
- Klinefelter Syndrome
- Leydig Cell Hypoplasia
- Mayer, Rokitansky, Kuster, Hauser Syndrome
- Ovotesticular DSD
- Persistent Müllerian Duct Syndrome
- Sex-Chromosome Mosaicism
- Ovarian Failure
- Hypospadius
- Testosterone Synthesis Defects
- XX Testicular DSD
Visit Details
A typical visit may include one-on-one consultations with the following specialists:
- Pediatric Endocrinologist/Geneticist for evaluation/diagnosis of disorder; monitoring of disease control, growth, puberty, and other concerns; treatment options; and provide medical information about the disorder.
- Genetic Counselor who will obtain the family pedigree; provide genetic counseling; facilitate the collection of DNA testing; make plans to review and discuss the results at the next visit.
- Psychologist who specializes in disorders of sex development to assess the patient's and family's ability to cope with issues associated with the various disorders (which may include delayed puberty; gender issues; options for medical and surgical treatment).
- OB-GYN for evaluation, monitoring and treatment, if necessary.
- Nurse Practitioner who will explain and initiate the Emergency Medical Plan (including web based plan for physicians at other hospitals in case of emergency); provide additional material about the disorder and discuss any other concerns the patient or parent may have.
- Pediatric Urology Surgeon, if surgery is being considered.
The patient and family meet with the team to review findings and recommendations. Ask questions and make a plan for follow-up.
Two weeks later:
- The patient and family receive a comprehensive clinic report, which includes recommendations of all of the specialists and health care professionals who saw the patient and family at the center.