Masculinization

Without treatment, as the child with CAH grows, further masculinization of features occurs, such as a deepening in the voice, facial hair and failure to menstruate or abnormal periods at puberty.
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You are having other symptoms such as:
increased muscle mass
signs of masculinization (such as a deepening of the voice)
excessive growth of hair on your face
menstrual changes
decreased breast size
increased size of genitals.
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Overproduction of testosterone in females, caused by ovarian and adrenal tumors, can result in masculinization, the symptoms of which include cessation of the menstrual cycle (amenorrhea) and excessive growth of body hair (hirsutism).
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The internal structures of the reproductive tract (ovaries, uterus, and fallopian tubes) are normal. As she grows older, masculinization of some features takes place, such as deepening of the voice, the appearance of facial hair, ...
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Side effects in men include acne, diminished sperm production, shrinking of the testicles and enlargement of the breasts. In women, side effects include acne and masculinization, such as deepening of the voice and male-pattern baldness.
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Theoretically, andro could also cause bone growth problems in children, premature labor during pregnancy, and masculinization in women, including male-pattern baldness, according to the Natural Medicines Comprehensive Database.
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