My daughter with SWCAH is seven now and very assertive-moreso than her sister who is 11 (non-CAH).  I have always attributed my younger daughter’s personality  and behavior in part to her CAH.  In fact she very often asks me "why am I not a boy"?  "I feel like a boy, I play with boys, I should be a boy"!  Our former ped endo (who moved out of state), had suggested we take her to  psychologist who specializes in helping families with girls with CAH and potential sexual/gender issues.  We just haven’t felt we needed to do that until puberty.  For the most part her assertiveness is a positivie thing.  She’s quite the athlete-plays soccer, basketball and football with the boys, and is an excellent swimmer.  She is positive she will someday be in the Olympics on the women’s soccer team, and that her team will win a gold medal!  She does play soccer now and the coaches are amazed at how good she is.  Her boldness exudes confidence at this stage in her life and I hope we can help her continue that confidence.  As with any child, she needs reminders to be polite, has time-outs when she’s having a tantrum (which is just a whine-fest at this age)-and basically requires alot of limit-setting.  Fortunately, she is a model student in the classroom. And we do notice a change in her behavior when she is due for a dose change with her Cortef-she can be very whiny and cranky until she’s been on the new dose a few weeks and her levels even out again.  In short-my 2 girls have very different personalities which is very common with siblings, but I think my young daughter has more assertive (even aggressive at times, esp when it comes to sports) tendencies that might have something to do with her CAH. 

Pamela