Pregnancy Over 40 and Fertility Over 40 Affected By Adrenal GlandsI've been researching causes of infertility for years and I've never come across "adrenal hyperplasia".
It does seem to be similar and possibly related to PCOS. The good news is, if you have this condition, it is treatable.
The condition is nonclassical congenital adrenal hyperplasia, or C.A.H. — a hormone deficiency that leads to excess production of androgens. In women it can interfere with ovulation; in men it can cause low sperm count. In addition, it can lead to short stature, body odor, acne, irregular menstruation and the excessive hair growth called hirsutism. (Ms. Citrone, now 38, had some of these symptoms, too.)
“The treatment is so cheap and easy,” said Dr. Maria New, a professor of pediatrics and human genetics at Mount Sinai School of Medicine who is considered the leading authority on C.A.H.
The diagnosis is based on a blood test for excess levels of a hormone called 17-hydroxyprogesterone — there is also a genetic test — and treatment involves small doses of the steroid dexamethasone. It can reverse many of the symptoms in three months to two and a half years.