I don’t have CAH, Gretchen, but I DO remember spotting for a year or more when my periods first started. I also had a friend who spotted for a few days every week or so, from the time she hit puberty (about age 12) until she was over 15 yrs old!! I can also remember being VERY tired .... so I don’t think those two things are abnormal when you first start having your menstrual cycle.

I’ve never heard, however, about anyone’s immune system being lowered because of the onset of puberty. Anyone else?? Because of your daughter’s CAH, I’d check into that one more, and see about getting her some help boosting her immune system.

Blessings!