Evidence map›Paper›PMID 41393299›Full record

ReviewFrontiers in endocrinology2025

Fertility in congenital adrenal hyperplasia due to 21-hydroxylase deficiency: a review.

Zuzanna Roszkowska, Małgorzata Bobrowicz, Joanna Betlejewska, Joanna Hubska, Beata Rak-Makowska, Urszula Ambroziak

Abstract readReview
In one paragraph

Review in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Zuzanna Roszkowska *Student Scientific Club "Endocrinus" Affiliated to the Department of Internal Medicine and Endocrinology, Medical University of Warsaw, Warsaw, Poland.
Małgorzata Bobrowicz *Department of Internal Medicine and Endocrinology, Medical University of Warsaw, Warsaw, Poland.
Joanna BetlejewskaDepartment of Internal Medicine and Endocrinology, Medical University of Warsaw, Warsaw, Poland.
Joanna HubskaDepartment of Internal Medicine and Endocrinology, Medical University of Warsaw, Warsaw, Poland.
Beata Rak-MakowskaLaboratory of Experimental Medicine, Medical University of Warsaw, Warsaw, Poland.
Urszula AmbroziakDepartment of Internal Medicine and Endocrinology, Medical University of Warsaw, Warsaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency is a rare autosomal recessive disorder affecting adrenal steroidogenesis, leading to cortisol deficiency, androgen oversecretion and adrenal glands' hyperplasia. While neonatal screening programs facilitate early diagnosis and treatment, CAH remains a complex condition with significant implications for fertility in both men and women. Women with CAH may experience menstrual irregularities, anovulation, prenatal virilization and psychological problems, while men face the problem of testicular adrenal rest tumors (TARTs), which can impair spermatogenesis, as well as experience sexual dysfunctions. Despite advances in the management of CAH, the issues of fertility and quality of sexual life still pose a challenge in this group of patients. This review aims to present the topic of fertility in CAH, taking into consideration the latest research and novel treatment options and underscores the importance of neonatal screening programs as well as personalized, team-based management to improve both reproductive outcomes and quality of life in CAH patients.

Indexed as

Adrenal Hyperplasia, CongenitalFertilityInfertilityFemaleHumansMaleNeonatal ScreeningQuality of Life21-hydroxylaseadrenalscongenital adrenal hyperplasiafertilitysexuality

Identifiers

PMID41393299
PMCPMC12698369

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.