Adrenal Disorders & Pregnancy

What are the adrenal glands?

The adrenal glands produce important hormones including cortisol, aldosterone and adrenal androgens.

Can adrenal insufficiency occur during pregnancy?

Yes. Women with known adrenal insufficiency can become pregnant, but they require specialist monitoring and appropriate steroid replacement.

Can steroid replacement be continued during pregnancy?

Yes. Appropriate glucocorticoid replacement is important and should not be stopped suddenly.

Does the steroid dose need to change during pregnancy?

Some women require dose adjustments as pregnancy progresses, particularly later in pregnancy. This should be individualized.

What happens during labour if I have adrenal insufficiency?

Labour is a physiological stress, and women with adrenal insufficiency generally require appropriate stress-dose glucocorticoid coverage.

Can Cushing syndrome occur during pregnancy?

Yes, although it is uncommon. Excess cortisol during pregnancy requires specialist assessment because it can affect both maternal and fetal health.

Can adrenal tumours be diagnosed during pregnancy?

Adrenal masses may occasionally be discovered during pregnancy. Evaluation depends on the size, imaging characteristics and whether the tumour produces hormones.

What if I have congenital adrenal hyperplasia?

Pregnancy management depends on the type of congenital adrenal hyperplasia and the individual woman's hormonal and fertility status. Specialist endocrine and obstetric care is recommended.