Prenatal diagnosis of congenital adrenal hyperplasia (CAH) is accurate
and prenatal therapy is effective in significantly reducing or even e
liminating virilization of females affected by CAH, sparing these chil
dren the consequences of genital surgery, sex missassignment and gende
r confusion. However, both the physical and psychological development
of these children and the possibility of long-range adverse effects in
the mothers need to be evaluated further. Prospective multicentre stu
dies covering several decades are being designed.