Some infants may also need salt added to their formula. Medications need to be adjusted as the child grows. Serum adrenal hormone levels and renin may need to be monitored. Female infants who have virilization of the genitalia may need surgical correction. This is usually done in stages, with the first surgery before age two years.
Genetic counseling is indicated for future family planning.
Prenatal testing and treatment are available. Even a mild elevation of 17-OHP in a term baby warrants a clinical evaluation and a serum sodium and potassium. Some infants with CAH have a normal first screen and are subsequently detected on the second screen. Parents of all infants with CAH need education about their child's condition. Salt wasters will need careful monitoring and lifelong medication adjustment.