I echo what Natalie posted. Also, EVERY child that has or does NOT have CAH should be given the privates talk from the get go. Getting your privates checked is embarrassing to anyone. I friend of mine who is 39 still HATES to go to the OBGYN. They will even take her blood pressure another visit that does not include a genital examine when she goes for her yearly check up because her blood pressure raises so high from anxiety. It wigs her out. SO, I think it is most EVERYONE that doesn’t enjoy these exams. (remember the old turn your head and cough routine for those poor boys?) And try examining a toddler even for a routine visit to the doc. I know MANY hate it.  So as my daughter got to be around 3 or so, I would ask her if she was comfortable with the doctor examining her. We have a good open relationship where we talk about EVERYTHING and keep that line of communications open. So she feel comfortable telling me if she doesn’t like it or not. Today she says, (rolling her eyes) ah mom I don’t care. It’s a doctor! They look at all sorts of things. But again, I ask each and every time we go. And I don’t wait until we are in the examining room. I ask her the day before the appointment. Not putting her on the spot. I am sure those days of openess with her body will change when she gets older. Pubic hair and boobies are right around the corner. But going back to the time she was an infant and before her surgery was done. The first couple of exams I found interns being called in to also examine her. That is when I put the brakes on. I was like excuse me but this needs to be addressed NOW. Put this in her chart. From here on out, my child is not a lab rat. The ONLY person to examine her genitals will be her endocrinologist. PERIOD. And so it has been that way since then. There was no need for that. My OBGYN doesn’t call the doc. in the next room to look at my vagina during my yearly exam, why does this have to take place any where else?

So what we do is, talk openly about what a doctor needs to do. If she doesn’t want to one day, she doesn’t have to. As always it will be by her choice. And if some exam makes YOU uncomfortable by what they are doing, then YOU have the choice to change doctors, urologists, pediatricians ect. Again like Natalie said. Be sure to emphasize the fact, MOM or DAD MUST be present during a doctors exam. I don’t care if you have CAH or not, a parent should ALWAYS be present during any genital exam.