Inclusion Criteria:  All patients diagnosed with CAH between five and 16 years of age will be asked to participate in this cross sectional study. Compliant patients with regular follow up.  Exclusion Criteria:  Presence of other endocrinal diseases or chronic conditions. Female patients with ovulatory dysfunction from other causes including thyroid dysfunction and hyperprolactinemia. Male patients with other diseases causing impairment of gonadal capacity.