Due to the excess androgens, the development of male sexual characteristics in females ( virilization ) can occur. Female babies may have sex organs that are not clearly male or female ( ambiguous genitalia ), making it difficult to initially determine their sex. Females may have excess hair growth on face and body ( hirsutism ) and other male secondary sexual characteristics during childhood and adolescence as well as irregular menstruation. Males with this condition will appear normal at birth but may start to develop sexual characteristics prematurely and are at risk for fertility issues later in life.
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