Cryptorchidism in male infants may require surgery. Both sexes have good response to treatment for hormone deficiencies, although side effects have been reported. Early pubic hair is common, but puberty is usually late in onset and incomplete. Fertility has not been documented in either sex. Best managed by ignoring behavior, treating and bandaging sores, and providing substitute activities for the hands.
Special toothbrushes can improve hygiene.
Products to increase saliva flow are helpful. If weight is controlled, life expectancy may be normal, and the individual's health and functioning can be maximized. The constant need for food restriction and behavior management may be stressful for family members. Family counseling may also be needed. Adolescents and adults with PWS can function well in group and supported living programs, if the necessary diet control and structured environment are provided.