Lisa-I understand your concerns. At barely 4 years of age, my daughter with CAH always pretends she is a boy. She asks me all the time why she is a girl and not a boy. She prefers jeans and t-shirts or wants to wear her "boy clothes"-(which she has identified!). She is also a little toughie, runs fast and plays hard. I can get her in dresses for church only. At least her hair is long and curly, so she has a cute little girl look. If she did not have CAH I might not worry about this behavior. Her 7 year old sister is very much the girl, so she does copy her sister at times. We have so many different kinds of worries, don't we, with our CAH and non-CAH kids?!