So far so good. We have been very good at doing it twice a day as instructed and have moved up from a size 11 dialator to a 14. (still a little rough doing this size) I am having to the dialation for now. Cara is going in for a scope on Sept. 17 to see how everything looks and for a surgical dialation. I am so thankful that they are able to do this as sometimes it doesn't seem as we are able to get as far as we need to. Cara is a trooper! She knows that she can ask me anything and we talk, in detail, about the whole situation. Sometimes, when I really think of it, it hurts to have had to have her grow up so quick in some regards as compared to her 9 year old sister who does not have CAH. She seems well adjusted and knows and understands her history and the importance of her medications. So I am thankful in that. Thank You again to all who replied. The comfort you have given me means the world! Take Care, Nancy