PeterWe have a CAH daughter who is 21 and seems to have difficult establishing romantic relationships with men. She was diagnosed at birth, had successful cosmetic surgery, and as far as we know has been properly maintained with cortisol ever since. Growth, weight, hair, periods, etc. are all normal. She is an excellent athlete, and relates very well to guys as "guy friends." She has told her mother she has had sex and "everything worked." She has a very close, almost smothering, relationship with a female college student. We have tried to find out the truth as to her sexuality with frank discussions, but she insists she is not gay and is terribly frustrated at her inability to have a normal boyfriend relationship. Obviously, she may not want to tell us something we would rather not hear. Sometimes I think she is asexual. She seems not to send off the right female signals to men. She is very attractive, but I doubt most guys would say she is "sexy."
My questions are: is there an increased incidence of lesibanism among the female CAH population? Is there any possibility her hormones could be messed up, in the sense that she doesn’t have enough estrogen or has too much testosterone? Is there anything we should be doing that we aren’t doing? Also, I feel like we need parental counseling on this from someone who sees and follows a lot of CAH patients. We could be handling this totally, completely wrong. Any help would be greatly appreciated. Thanks.