Shaun - I'm not sure I understand your question and I hope I'm wrong in associating your athletic goals with the steroid questions. My daughter has CAH. She is unable to produce cortisol... which is a steroid essential for life. In children who cannot produce this hormone, their adrenal glands keep sending out a signal to the body that says "Hey--I need some of this (cortisol)!!" The pituitary gland gets that signal and sends out the precursors needed to produce what the adrenals are yelling out for. But - due to an enzyme deficiency - the adrenal glands cannot use this precursor for the intended purpose. It builds up and builds up, enlarging the adrenal glands. This precursor is also used in the production of testosterone -- the mystery androgen that you refer to. When the adrenal glands are overflowing with this precursor and it has nowhere else to go, it gets directed to it's other purpose (producing testosterone) and overproduces there. In a boys case this is o.k. (that is, the over-production of testosterone is o.k. - the underproduction of cortisol is life threatening and the child can die without treatment). In a girls case, the overproduction of testosterone causes obvious problems. During a pregnancy, the female baby will sometimes develop with severe genital malformations. In utero, all babies genitals are the same in the beginning. At a certain point into the pregnancy, depending on the presence or absence of testosterone, the genitals will grow in different ways. My daughter looked like a boy when she was born. Genetically she is a female. Having testosterone does not make her a boy... all females have testosterone, but in small amounts. My daughter, during my pregnancy, produced too much. Her clitoris enlarged to the point of resembling a penis. It was NOT an actual penis and would not have functioned as one... so this is not the same as the hermaphrodite he/she thing. She is a female who developed incorrectly. Due to the testosterone, her labia fused and resembled a scrotal sac... although there were no testicles. She has a normal uterus, ovaries, etc.... I know this is a very long-winded answer, but I'm not sure that I understand your question and I'm not sure that you understand CAH. I think perhaps you stumbled across this website by accident and were hoping to find answers that would help you with your athletic skills. We can't help you with those answers. However, I don't want you walking away from this website with a misunderstanding of what CAH is or isn't. There's so much of that already and it causes a great deal of problems, that's why I felt the need to explain it. I hope I have cleared up some of the confusion you had and maybe answered some of your questions.