About Adrenogenital Disorders
Key Highlights
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Enables normal growth, puberty, and development in affected children.Prevents life-threatening adrenal crises through proper hormone replacement.Manages symptoms of androgen excess like early puberty, acne, and hirsutism.Supports the potential for normal fertility in adulthood with proper management.Provides a structured, lifelong care plan under specialist supervision.
Who is this surgery for?
- Newborn screening showing elevated 17-hydroxyprogesterone (for Congenital Adrenal Hyperplasia - CAH).
- Signs of salt-wasting in infancy (vomiting, dehydration, failure to thrive).
- Ambiguous genitalia in a newborn (virilization in genetic females).
- Precocious (early) puberty in children.
- In females: hirsutism, severe acne, menstrual irregularities, or infertility suggestive of non-classical CAH.
- Family history of adrenogenital disorders or unexplained adrenal insufficiency.
How to prepare
- Detailed medical history and physical examination, including growth charts.
- Baseline blood tests for electrolytes, 17-OHP, renin, ACTH, and androgen levels.
- For diagnostic ACTH stimulation test: may require fasting and timing with the menstrual cycle in post-pubertal females.
- Genetic counseling and testing for the patient and family members.
- In cases requiring surgery (e.g., genital reconstruction): standard pre-operative assessments and steroid stress-dose planning.
Risks & possible complications
- Adrenal crisis (acute insufficiency) due to illness, stress, or under-dosing of medication.
- Long-term glucocorticoid side effects: weight gain, osteoporosis, hypertension, and glucose intolerance.
- Over-treatment leading to Cushing's syndrome or growth suppression in children.
- Under-treatment resulting in continued androgen excess and its complications.
- Potential for testicular adrenal rest tumors (TARTs) in males with CAH.
- Psychological impact related to body image, gender identity, or fertility concerns.
Recovery & hospital stay
- Lifelong daily medication adherence is critical; doses are adjusted during illness, surgery, or stress.
- Regular follow-up with the endocrinologist for hormone level monitoring and growth/development assessment.
- Wearing a medical alert bracelet indicating adrenal insufficiency is essential.
- Parents/caregivers must be trained to administer emergency hydrocortisone injections for crisis situations.
- For surgical procedures, recovery follows specific surgical protocols with close endocrine management.
- Psychological support and counseling are often recommended for patients and families.
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Typical hospital stay: 0-5 days
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Expected recovery time: Lifelong management; surgical recovery 4-6 weeks
Frequently Asked Questions
If you are considering adrenogenital disorders in India, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in India with endocrinology departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform adrenogenital disorders. MediFyr helps you compare endocrinologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for adrenogenital disorders compare across other countries where we have data.
Ananya Mehta, a 28-year-old software engineer...
Ananya Mehta, a 28-year-old software engineer from Mumbai, had always felt 'different.' Since puberty, she experienced irregular, often absent periods, excessive facial and body hair (hirsutism), and persistent acne. After years of dismissive comments and failed skincare routines, she sought help. An endocrinologist diagnosed her with Non-Classic Congenital Adrenal Hyperplasia (NCAH), a mild form of adrenogenital disorder. The doctor recommended starting low-dose glucocorticoid therapy (like hydrocortisone) to suppress her adrenal glands' overproduction of androgens. The treatment was a daily pill. Within three months, her cycles regulated, and her hirsutism and acne improved dramatically. Emotionally, the diagnosis was a validation after years of confusion and shame. She felt relief in having a name for her condition and control over her body for the first time, transforming her self-image from 'flawed' to 'understood.'
Endocrinologists for Adrenogenital Disorders
Explore experienced endocrinologists who regularly perform adrenogenital disorders and provide pre- and post-operative care in India.
- 18 Years Experience
- Endocrinologist
Kamineni Hospital LB Nagar, Hyderabad
- 5 Years Experience
- Endocrinologist
Manipal Hospital Old Airport Road, Bangalore
- 50 Years Experience
- Endocrinologist
Manipal Hospital Dhakuria, Kolkata
- 15 Years Experience
- Endocrinologist
Manipal Hospital Dhakuria, Kolkata
- 30 Years Experience
- Endocrinologist
Manipal Hospital Dhakuria, Kolkata
- 13 Years Experience
- Endocrinologist
Manipal Hospital Dhakuria, Kolkata
- 8 Years Experience
- Endocrinologist
Manipal Hospital Malleshwaram, Bangalore
- 21 Years Experience
- Endocrinologist
Manipal Hospital Malleshwaram, Bangalore
- 8 Years Experience
- Endocrinologist
Manipal Hospitals Broadway, Kolkata
- 16 Years Experience
- Endocrinologist
Manipal Hospital Doddaballapur, Bangalore
- 13 Years Experience
- Endocrinologist
Manipal Hospital Doddaballapur, Bangalore
- 3 Years Experience
- Endocrinologist
Manipal Hospital Kanakapura Road, Bangalore
- 33 Years Experience
- Endocrinologist
Manipal Hospital Millers Road, Bangalore
- 29 Years Experience
- Endocrinologist
Manipal Hospital Millers Road, Bangalore
- 12 Years Experience
- Endocrinologist
- 12 Years Experience
- Endocrinologist
Manipal Hospital EM Bypass, Kolkata
- 27 Years Experience
- Endocrinologist
Manipal Hospital EM Bypass, Kolkata
- 7 Years Experience
- Endocrinologist
Manipal Hospital EM Bypass, Kolkata
- 18 Years Experience
- Endocrinologist
Manipal Hospital EM Bypass, Kolkata
- 20 Years Experience
- Endocrinologist
Manipal Hospital Salt Lake, Kolkata