{"id":4755,"date":"2025-09-09T15:18:34","date_gmt":"2025-09-09T13:18:34","guid":{"rendered":"https:\/\/www.pezz.ch\/?page_id=4755"},"modified":"2026-05-28T11:31:25","modified_gmt":"2026-05-28T09:31:25","slug":"hormonstoerungen","status":"publish","type":"page","link":"https:\/\/www.pezz.ch\/en\/fuer-familien\/hormonstoerungen\/","title":{"rendered":"Hormonal Disorders"},"content":{"rendered":"<div class=\"brz brz-root__container brz-reset-all brz-root__container-page\">\n<section id=\"wachstum-kopfbild\" data-brz-id=\"b3fnQC14Esqn_b3fnQC14Esqn\" class=\"brz-section brz-css-d-section brz-css-1f83gud\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-1621c5u\" data-brz-custom-id=\"qoG5ae_wAadX\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-image\"><\/div>\n<div class=\"brz-bg-shape brz-bg-shape__bottom\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-512aie\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-r-wrapper brz-css-a27hrd brz-wrapper\">\n<div class=\"brz-spacer brz-css-d-spacer brz-css-ca8s4d\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"hormonstoerungen\" data-brz-id=\"maJrR08rmmPm_maJrR08rmmPm\" class=\"brz-section brz-css-d-section brz-css-3ot191\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-1c57w38\" data-brz-custom-id=\"lKyW62t5peXD\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-1lxpcgm\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-x9wm2m brz-wrapper\">\n<div class=\"brz-wp__breadcrumbs brz-css-d-wpbreadcrumbs brz-css-9mhvvs\" data-brz-custom-id=\"iutYG5RKXixD\">\n<div style=\"min-height:20px\"><\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-x16he brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-b84v8j\" data-brz-custom-id=\"cWErFpXtvq9C\">\n<div data-brz-translate-text=\"1\">\n<h1 class=\"brz-tp-lg-heading1 brz-css-orEmV\" data-uniq-id=\"lFJ_P\" data-generated-css=\"brz-css-cIXdP\"><span class=\"brz-cp-color8\">HORMONAL DISORDERS<\/span><\/h1>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-14dyr4a\" data-brz-custom-id=\"jbleIjB1CETP\">\n<div class=\"brz-row brz-css-d-row-container brz-css-r-row-container brz-css-11dqza0\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-10dx9lr\" data-brz-custom-id=\"htTa2EJZ1aLx\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1vdwi8g\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-minjo4 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1n6mhal\" data-brz-custom-id=\"tXh7EMaC5TrE\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-tp-lg-heading3 brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-28 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_4 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-nbjGW\" data-uniq-id=\"z5VEM\" data-generated-css=\"brz-css-lWZ4_\"><span class=\"brz-cp-color8 brz-underline-true\">DAS HORMONSYSTEM IST EIN SYSTEM VON ORGANEN, DIE SICH AUF DIE PRODUKTION UND FREISETZUNG BIOLOGISCH AKTIVER STOFFE (&#8218;HORMONE&#8216;) SPEZIALISIERT HABEN.<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-js1w2p\" data-brz-custom-id=\"ysQ4jv8v9ctD\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1b9d4b1\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-12ruvhx brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-12t7ykr\" data-brz-custom-id=\"mxHZShrsM_lf\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-28 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_4 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-lg-paragraph brz-css-bGmr0\" data-uniq-id=\"xdtBj\" data-generated-css=\"brz-css-ke6YT\"><span class=\"brz-cp-color8 brz-underline-true\">Hormones transmit regulatory signals, for example from the diencephalon to the ovaries, which in turn regulate the uterus through hormones. For growth and development during childhood, the following hormone-producing organs (\u201cglands\u201d) are particularly important: thyroid gland, adrenal glands, testes\/ovaries, and pituitary gland.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"hUKoWN3LecCd_hUKoWN3LecCd\" class=\"brz-section brz-css-d-section brz-css-jqtyab\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-biavtk\" data-brz-custom-id=\"ygh0oqcbo5Zx\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-70w27b\">\n<div class=\"brz-row__container brz-css-d-row-row brz-css-11xm797\" data-brz-custom-id=\"mp6TLvguFRdw\">\n<div class=\"brz-row brz-css-d-row-container brz-css-r-row-container brz-css-h7q1m5\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-k3s5ym\" data-brz-custom-id=\"yWELJLN0bxpt\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-f0j33e\">\n<div class=\"brz-row__container brz-css-d-row-row brz-css-1rhca07\" data-brz-custom-id=\"chdRZ9g5S6tc\">\n<div class=\"brz-row brz-row--inner brz-css-d-row-container brz-css-r-row-container brz-css-15rix20\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-1g4zqxs\" data-brz-custom-id=\"mVKhGkyJy63n\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-5zbpx9\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-13rca07 brz-wrapper menu-tab-left\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-18iv1hu\" data-brz-duration=\"300\" data-brz-custom-id=\"hjUKLzyJ022p\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MENU TAB<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-rpalnr brz-wrapper\">\n<div class=\"brz-menu__container brz-css-d-menu-menu-container brz-css-arrl3b\" data-brz-menu-accessible=\"true\" data-brz-custom-id=\"uEYnzgGedIDG\">\n<nav data-mods=\"%7B%22desktop%22%3A%22horizontal%22%2C%22tablet%22%3A%22horizontal%22%2C%22mobile%22%3A%22horizontal%22%7D\" class=\"brz-menu brz-menu__preview brz-css-d-menu-menu brz-css-1uddhhf\">\n<ul class=\"brz-menu__ul\" data-menu-items-active=\"\">\n<li data-menu-item-id=\"b38f6ef2c35c19701a6725ae8bba1cf6\" class=\"brz-menu__item menu-item menu-item-type-custom menu-item-object-custom\"><a class=\"brz-a\" target=\"\" href=\"\/en\/fuer-familien\/hormonstoerungen\/#schilddruese\"><span class=\"brz-span\">Thyroid<\/span><\/a><\/li>\n<li data-menu-item-id=\"07759da0b8735a8090482463a2a9007f\" class=\"brz-menu__item menu-item menu-item-type-custom menu-item-object-custom\"><a class=\"brz-a\" target=\"\" href=\"\/en\/fuer-familien\/hormonstoerungen\/#nebennieren\"><span class=\"brz-span\">Adrenal gland<\/span><\/a><\/li>\n<li data-menu-item-id=\"e61165a10bc2e94d2579d40854a17521\" class=\"brz-menu__item menu-item menu-item-type-custom menu-item-object-custom\"><a class=\"brz-a\" target=\"\" href=\"\/en\/fuer-familien\/hormonstoerungen\/#hoden-eierstoecke\"><span class=\"brz-span\">Testes \/ Ovaries<\/span><\/a><\/li>\n<li data-menu-item-id=\"b502b5bd3deada01ec16793da767f74f\" class=\"brz-menu__item menu-item menu-item-type-custom menu-item-object-custom\"><a class=\"brz-a\" target=\"\" href=\"\/en\/fuer-familien\/hormonstoerungen\/#hypophyse\"><span class=\"brz-span\">Pituitary gland<\/span><\/a><\/li>\n<li data-menu-item-id=\"855f4c8629b7a70196c6017014325878\" class=\"brz-menu__item menu-item menu-item-type-custom menu-item-object-custom\"><a class=\"brz-a\" target=\"\" href=\"\/en\/fuer-familien\/hormonstoerungen\/#ags\"><span class=\"brz-span\">Adrenogenital syndrome<\/span><\/a><\/li>\n<li data-menu-item-id=\"20f5bac67f909a22f302a990ba7f8f9f\" class=\"brz-menu__item menu-item menu-item-type-custom menu-item-object-custom\"><a class=\"brz-a\" target=\"\" href=\"\/en\/fuer-familien\/hormonstoerungen\/#diabetes\"><span class=\"brz-span\">Diabetes<\/span><\/a><\/li>\n<\/ul>\n<\/nav>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-y7xw1g\" data-brz-custom-id=\"pCW_Wy_YEorm\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-6dhsqp\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-r-wrapper brz-css-cw6e12 brz-wrapper\">\n<div class=\"brz-spacer brz-css-d-spacer brz-css-1yegn4y\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"schilddruese\" data-brz-id=\"g5Yx_UqHqSOi_g5Yx_UqHqSOi\" class=\"brz-section brz-css-d-section brz-css-11ibbda\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-llpjfe\" data-brz-custom-id=\"qdQ_li9mLMdg\">\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-1r3ahs8\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-5oyjr0 brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-q90xgfo593eq-parent brz-css-egwqkq\" data-brz-custom-id=\"q90xGFo593eQ\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/12\/pezz-schilddrusenuntersuchung-02.webp\" loading=\"lazy\" alt=\"Arzt un tersucht die Schilddr\u00fcse eines Patienten mit einem R\u00f6ntgenger\u00e4t\" title=\"Pezz-Schilddr\u00fcsenuntersuchung-02.\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"schilddruese-info\" data-brz-id=\"ptBZHMP893dH_ptBZHMP893dH\" class=\"brz-section brz-css-d-section brz-css-1mbyy8v\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-q7exi0\" data-brz-custom-id=\"hdgasdDGFPFc\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-17uhcwc\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-147d410 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-jt7vdv\" data-brz-custom-id=\"ctwd2p_GnY9r\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-text-xs-left brz-ff-qKYqBgi9lfgW brz-ft-upload brz-fs-lg-70 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1 brz-vfw-lg-600 brz-fwdth-lg-100 brz-fsft-lg-0 brz-mb-lg-0 brz-mb-sm-0 brz-mb-xs-0 brz-tp-lg-heading2 brz-text-lg-left brz-css-pqeuQ\" data-generated-css=\"brz-css-yaQx1\" data-uniq-id=\"i_NoO\"><span class=\"brz-cp-color8\">THE THYROID GLAND REGULATES METABOLISM<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-1qd146w\" data-brz-custom-id=\"kCYmLmVL3EA2\">\n<div class=\"brz-row brz-css-d-row-container brz-css-1spljy3\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-47xa7k\" data-brz-custom-id=\"tthFVqUervjt\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1xc3rzw\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-11qx9l2 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1xui47g\" data-brz-custom-id=\"kU3FBMcUbzxf\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-tp-lg-heading3 brz-tp-sm-heading3 brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-28 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_4 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-mt-lg-30 brz-mt-xs-0 brz-css-hqBJz\" data-uniq-id=\"wbWER\" data-generated-css=\"brz-css-tqyTX\"><span class=\"brz-cp-color8 brz-underline-true\">IN CASE OF UNDER- OR OVERACTIVITY OF THE THYROID GLAND, TREATMENT IS RECOMMENDED.<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-4srxjq brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-473wzv\" data-brz-custom-id=\"d1cRxVvG7Och\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-sEb4z\" data-uniq-id=\"syIbM\" data-generated-css=\"brz-css-fqUs0\"><span class=\"brz-cp-color8\">Die Schilddr\u00fcse liegt an der Vorderseite des Halses dicht unterhalb des Kehlkopfes; sie besteht aus zwei Lappen, die hufeisenf\u00f6rmig die Luftr\u00f6hre umschliessen. In Normalgr\u00f6sse ist sie nicht tastbar, eine Vergr\u00f6sserung (sogenannte &#8222;Struma&#8220; oder &#8222;Kropf&#8220;) sieht man manchmal schon ohne zu tasten. Die Schilddr\u00fcse produziert die jodhaltigen Hormone Thyroxin (T4) und Triiodthyronin (T3), die eine grosse Bedeutung f\u00fcr die Steuerung des Stoffwechsels haben. Es muss immer die richtige Thyroxinmenge in den Blutkreislauf ausgesch\u00fcttet werden, um den Stoffwechsel an die \u00e4usseren Verh\u00e4ltnisse anzupassen.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-exkyh\" data-brz-custom-id=\"mXiLoYaUsJeH\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-is2kn9\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-z1nemq brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-48qpgi\" data-brz-custom-id=\"kQ4P_1lSyZUE\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-kiuGx\" data-generated-css=\"brz-css-lJZsi\" data-uniq-id=\"iUqTI\"><span class=\"brz-cp-color8\">HYPOTHYROIDISM (UNDERACTIVE THYROID)<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1xk1vof brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-bd1rj8\" data-brz-custom-id=\"fF5Eh6In6MV1\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-z0kYC\" data-uniq-id=\"dRWDb\" data-generated-css=\"brz-css-cARVc\"><span class=\"brz-cp-color8\">There are congenital and acquired forms of hypothyroidism. Both are associated with symptoms of markedly reduced metabolism (e.g. slowed growth, reduced heart rate, decreased performance and concentration, constipation, weight gain, sensitivity to cold, and chronic fatigue). Particularly severe consequences occur in the relatively common congenital form (affecting about 1 in 4,000 newborns), which, if left untreated, can lead to severe intellectual disability and growth failure. For this reason, all newborns are screened for this condition as part of neonatal screening (so-called Guthrie test) and, if necessary, treated early with thyroid hormones. <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-af3ixk brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-k35223\" data-brz-duration=\"300\" data-brz-custom-id=\"qfnRRfjCZHlt\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MORE<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1qzwgg6 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-tyu0y1\" data-brz-custom-id=\"fHgEVshWMqOk\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-rvbGG\" data-generated-css=\"brz-css-sAs1J\" data-uniq-id=\"pcQ4z\"><span class=\"brz-cp-color8\">With treatment started in time and well managed, affected children develop normally. Acquired forms of hypothyroidism can also occur later in life. Most commonly, this is due to insufficient iodine intake (iodine is an essential component of thyroid hormones) or inflammation of the thyroid gland. An inadequate production of TSH by the pituitary gland can also lead to hypothyroidism (see <\/span><a class=\"link--anchor brz-cp-color1\" href=\"#hypophyse\" data-brz-link-type=\"anchor\">pituitary insufficiency)<\/a><span class=\"brz-cp-color8\">).<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-ni82jb brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1elg3ik\" data-brz-custom-id=\"mhj2a2itebiS\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-z3GUi\" data-uniq-id=\"muJZz\" data-generated-css=\"brz-css-ex4eh\"><span class=\"brz-cp-color8\">HYPERTHYROIDISM (OVERACTIVE THYROID)<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-wpbuew brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1lveqmz\" data-brz-custom-id=\"i1S1cnhGvllU\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-n7zLW\" data-generated-css=\"brz-css-zneKU\" data-uniq-id=\"x6Ip5\"><span class=\"brz-cp-color8\">Sehr selten sind Hyperthyreosen angeboren, meistens sind sie erworben und treten im Rahmen von Entz\u00fcndungen der Schilddr\u00fcse (Morbus Basedow) oder infolge sogenannter &#8222;Adenome&#8220; auf. Adenome sind Schilddr\u00fcsenknoten, die nicht mehr der Regulation von TSH unterliegen, sondern ungesteuert und damit auch ungehemmt Thyroxin produzieren. M\u00f6gliche Symptome des gesteigerten Stoffwechsels sind beschleunigtes Wachstum, Unruhe, schneller Herzschlag, vermehrtes Schwitzen, Zittern, Durchfall und Gewichtsverlust.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-13kciam brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-1v3a3ap\" data-brz-duration=\"300\" data-brz-custom-id=\"wPAU0gdkRq26\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MORE<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-6fcqca brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1n4noe\" data-brz-custom-id=\"xMMixSVmBz6r\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-rBSP3\" data-generated-css=\"brz-css-uJD57\" data-uniq-id=\"f0n2r\"><span class=\"brz-cp-color8\">Treatment usually consists of medications that inhibit thyroid hormone production. In rare cases, surgery or radioiodine therapy is necessary.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-vxW1N\" data-generated-css=\"brz-css-uJD57\" data-uniq-id=\"f0n2r\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-sSyzb\" data-generated-css=\"brz-css-uJD57\" data-uniq-id=\"f0n2r\"><span class=\"brz-cp-color8\">An enlarged thyroid (goiter) can be caused by either underactivity or overactivity. For an accurate diagnosis, in addition to taking the patient\u2019s symptoms into account, a blood test and an ultrasound examination are necessary. These also allow for precise measurement of the thyroid\u2019s size.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"nebennieren\" data-brz-id=\"y3Aa4p7i4XpN_y3Aa4p7i4XpN\" class=\"brz-section brz-css-d-section brz-css-1vkiwce\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-14vxbiz\" data-brz-custom-id=\"nz7F2FXCNVTV\">\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-1x78jr4\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-19k5nps brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-lyufx1rfphvp-parent brz-css-s6y8fe\" data-brz-custom-id=\"lyufX1RfPhvP\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/12\/pezz-nebenniere.webp\" loading=\"lazy\" alt=\"Innenansicht eines Bauches. Die Nebennieren sind rot markiert.\" title=\"Pezz-Nebenniere\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"nebennieren-info\" data-brz-id=\"mDhi9Lt8jLEu_mDhi9Lt8jLEu\" class=\"brz-section brz-css-d-section brz-css-1ffxel3\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-4v7r61\" data-brz-custom-id=\"zjPYVwajjwjm\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-1bqg77v\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-7pqe0f brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-9lhcns\" data-brz-custom-id=\"foCv6sV7vd1g\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-text-xs-left brz-ff-qKYqBgi9lfgW brz-ft-upload brz-fs-lg-70 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1 brz-vfw-lg-600 brz-fwdth-lg-100 brz-fsft-lg-0 brz-mb-sm-0 brz-mb-xs-0 brz-tp-lg-heading2 brz-text-lg-left brz-mb-lg-0 brz-css-jOWbp\" data-generated-css=\"brz-css-ppOG7\" data-uniq-id=\"irThT\"><span class=\"brz-cp-color8\">ADRENAL GLANDS<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-skg8lg\" data-brz-custom-id=\"d3WAfhsmFEFa\">\n<div class=\"brz-row brz-css-d-row-container brz-css-163thml\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-1u0fjh8\" data-brz-custom-id=\"taNBfTTVkOWz\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1qr12tz\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-o31zhz brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-yrxnvs\" data-brz-custom-id=\"tEVjLhB02vM4\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-mt-lg-0 brz-tp-lg-heading3 brz-tp-sm-heading3 brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-28 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_4 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-tV9NF\" data-uniq-id=\"pFngc\" data-generated-css=\"brz-css-wlSig\"><span class=\"brz-cp-color8 brz-underline-true\">PRODUCTION OF SO-CALLED STEROID HORMONES SUCH AS CORTISOL, ANDROSTENEDIONE, AND ALDOSTERONE<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1x2tlco brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-3a5msi\" data-brz-custom-id=\"zDj1Buv2dRPR\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-l1zZt\" data-uniq-id=\"wRod9\" data-generated-css=\"brz-css-uwO89\"><span class=\"brz-cp-color8\">The adrenal glands are two glands located above the kidneys on the right and left sides, and they are not directly related to kidney function. They consist of the adrenal cortex and the adrenal medulla. The main function of the adrenal cortex is the production of so-called steroid hormones: \u201cstress hormones\u201d (e.g. cortisol), various sex hormones (e.g. androstenedione), as well as hormones important for salt and fluid balance (e.g. aldosterone). Hormone secretion is partly regulated by the pituitary gland (<\/span><a class=\"link--anchor brz-cp-color3\" href=\"#hypophyse\" data-brz-link-type=\"anchor\">Pituitary gland<\/a><span class=\"brz-cp-color8\">).<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-phevjk brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-16ai8th\" data-brz-custom-id=\"v0PX7w5smWBu\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-hRd2j\" data-generated-css=\"brz-css-amXFv\" data-uniq-id=\"hsc9d\"><span class=\"brz-cp-color8\">Several intermediate products (hormones) are synthesized in the adrenal glands, which in turn often serve as the starting point for new compounds. Various enzymes (catalysts) are essential for the production of these different hormones, as they carry out the chemical reactions involved. The adrenal medulla produces the so-called fight-or-flight hormones, adrenaline and noradrenaline.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-w3p33o\" data-brz-custom-id=\"sw0TaS3PZC1h\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1ye80c4\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1e63fed brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1rfzygc\" data-brz-custom-id=\"qLbGu_MbAiFq\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-dYmkz\" data-uniq-id=\"iyfFD\" data-generated-css=\"brz-css-b8max\"><span class=\"brz-cp-color8\">If the adrenal glands are not functioning normally, a distinction must be made between<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-157frq4 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-12yres7\" data-brz-custom-id=\"pADvbFOD0t3p\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-lg7NO\" data-uniq-id=\"tZanu\" data-generated-css=\"brz-css-p8T5G\"><span class=\"brz-cp-color8\">HYPERFUNCTION OF THE ADRENAL CORTEX<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1wsppxw brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1hwndre\" data-brz-custom-id=\"jvdNJRbKLTZl\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-l7STO\" data-uniq-id=\"rmySy\" data-generated-css=\"brz-css-mTlsc\"><span class=\"brz-cp-color8\">An overproduction of cortisol (Cushing\u2019s syndrome) occurs either due to excessive production of the upstream regulatory hormone ACTH (Cushing\u2019s disease) or as a result of a hormone-producing tumor of the adrenal gland. Typical signs include weight gain\u2014especially in the face (\u201cmoon face\u201d)\u2014with stunted growth, wide red stretch marks on the abdomen and thighs, high blood pressure, muscle weakness, and often increased body hair.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-nyYAP\" data-uniq-id=\"rmySy\" data-generated-css=\"brz-css-mTlsc\"><span class=\"brz-cp-color8\"> <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-cmjy3w brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-8c8kpe\" data-brz-custom-id=\"iCHSptStmHBo\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-jNgyn\" data-uniq-id=\"hQyn_\" data-generated-css=\"brz-css-t6PX4\"><span class=\"brz-cp-color8\">HYPOFUNCTION OF THE ADRENAL CORTEX<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1v9r65g brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-h4l0q3\" data-brz-custom-id=\"sqJxu4cs4QKY\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-npZYO\" data-uniq-id=\"wj5uJ\" data-generated-css=\"brz-css-s4OU5\"><span class=\"brz-cp-color8\">Der Morbus Addison ist eine Erkrankung der Nebennierenrinde mit verminderter Bildung der Hormone Cortisol und Aldosteron. Man spricht dabei auch von Nebennierenrindeninsuffizienz. Die h\u00e4ufigste Ursache ist eine Entz\u00fcndung der Nebennieren, die durch eine Autoimmunreaktion ausgel\u00f6st wird. Hierbei kehrt sich das Abwehrsystem des K\u00f6rpers aus noch ungekl\u00e4rten Gr\u00fcnden gegen das Nebennierengewebe und zerst\u00f6rt es. Bei einer sich langsam entwickelnden und l\u00e4nger bestehenden Nebennierenrindeninsuffizienz kommt es zu Appetitmangel und \u00dcbelkeit, manchmal mit Erbrechen. Dadurch entsteht ein Gewichtsverlust. Die Patienten sind sehr m\u00fcde und die k\u00f6rperliche Leistungsf\u00e4higkeit sinkt. Auch die F\u00e4higkeit des K\u00f6rpers, Infektionen abzuwehren, nimmt ab. Der Blutdruck ist niedrig, durch den Natriummangel besteht oft &#8222;Salzhunger&#8220;. Hinzu kommt eine br\u00e4unliche Verf\u00e4rbung der Haut oder vorbestehender Narben auf der Haut.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-aFOMG\" data-uniq-id=\"wj5uJ\" data-generated-css=\"brz-css-s4OU5\"><span class=\"brz-cp-color8\"> <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-u8wdha brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1igwg52\" data-brz-custom-id=\"kUPNfsSxsqgY\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-usIH4\" data-generated-css=\"brz-css-s0e9j\" data-uniq-id=\"pHzaG\"><span class=\"brz-cp-color8\">Eine akute Zerst\u00f6rung der Nebenniere kann zu der lebensbedrohenden &#8222;Addison-Krise&#8220; f\u00fchren.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1wzmv3f brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-x1hz3l\" data-brz-custom-id=\"hNCS3aCEJPaO\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-tu7TL\" data-generated-css=\"brz-css-p_b3j\" data-uniq-id=\"vwfI7\"><span class=\"brz-cp-color8\">In Addison\u2019s disease, the hormone deficiency must be compensated for throughout life with hormone replacement therapy.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-d1Vpw\" data-generated-css=\"brz-css-iIxTy\" data-uniq-id=\"wArqA\"><\/p>\n<p data-generated-css=\"brz-css-gZEVu\" data-uniq-id=\"vY7rf\" class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-t_SAA\"><span class=\"brz-cp-color8\">In <\/span><a class=\"link--anchor brz-cp-color3 brz-bold-true\" href=\"#ags\" data-brz-link-type=\"anchor\"><strong>congenital adrenal hyperplasia (adrenogenital syndrome),<\/strong><\/a><span class=\"brz-cp-color8\"> too little cortisol is produced, while at the same time\u2014essentially as a compensatory overflow reaction\u2014too many male sex hormones are produced.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-wrapper-clone brz-flex-xs-wrap brz-css-d-cloneable brz-css-1dk204k\" data-brz-custom-id=\"grCAd5ZSmsZa\">\n<div class=\"brz-icon__container\" data-brz-custom-id=\"a9tGo0udpctp\"><span class=\"brz-icon brz-span brz-css-d-icon-icon brz-css-1gj2o4e\"><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"hoden-eierstoecke\" data-brz-id=\"fpJwrww1bavf_fpJwrww1bavf\" class=\"brz-section brz-css-d-section brz-css-te5rhg\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-12qx4ct\" data-brz-custom-id=\"qr3T02yZdHal\">\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-15b8x5i\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1xdzijh brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-exc4jkqwc6v_-parent brz-css-ucu6v5\" data-brz-custom-id=\"exc4JKqWc6V_\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/12\/pezz-orchidometer-hoden-1.webp\" loading=\"lazy\" alt=\"Ein Orchidometer zur Messung des Hodenvolumens\" title=\"Pezz-Orchidometer-Hoden-1\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"hoden-eierstoecke-info\" data-brz-id=\"aDC3aTwLqIRz_aDC3aTwLqIRz\" class=\"brz-section brz-css-d-section brz-css-z0nm9u\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-rri07z\" data-brz-custom-id=\"iqaeSGvA75KB\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-vamske\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-ofp5xn brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-m60iyt\" data-brz-custom-id=\"yfk7Y51kATr2\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-mb-lg-0 brz-text-lg-left brz-tp-lg-heading2 brz-mb-xs-0 brz-mb-sm-0 brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-600 brz-lh-lg-1 brz-ls-lg-0 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-70 brz-ft-upload brz-ff-qKYqBgi9lfgW brz-text-xs-left brz-css-zep4V\" data-uniq-id=\"yGb97\" data-generated-css=\"brz-css-pZJYU\"><span class=\"brz-cp-color8\">TESTES \/ OVARIES<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-1e56mad\" data-brz-custom-id=\"cYb4Ab5UG33B\">\n<div class=\"brz-row brz-css-d-row-container brz-css-d1ew6b\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-zxp1zg\" data-brz-custom-id=\"bKWbbBkIWe9A\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-jkmxx6\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-18y0oy6 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-e7iwj5\" data-brz-custom-id=\"yzGXUhv7uKT9\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_4 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-28 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-sm-heading3 brz-tp-lg-heading3 brz-mt-lg-0 brz-css-n6G1t\" data-generated-css=\"brz-css-p9FqQ\" data-uniq-id=\"o9vbH\"><span class=\"brz-underline-true brz-cp-color8\">THE GONADS PLAY A DECISIVE ROLE IN DEVELOPMENT.<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-fujocj brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-7t1d66\" data-brz-custom-id=\"jwBAYTq6OFss\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-sZI1b\" data-uniq-id=\"fTf3o\" data-generated-css=\"brz-css-mWRHC\"><span class=\"brz-cp-color8\">Delayed pubertal development can be caused by a disorder of the gonads, but it can also simply be the result of a delay as a normal variant. In both boys and girls, there are \u201clate bloomers\u201d or \u201clate developers\u201d who enter puberty later (parents often report similar patterns in themselves; see also puberty). Through a physical examination, including an X-ray of the hand and, depending on the situation, a blood test, we can determine the underlying cause and whether treatment is necessary.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-trfdxy\" data-brz-custom-id=\"x_1vxDbwYYIk\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1vl4060\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1ynwx72 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-tzbpa7\" data-brz-custom-id=\"jgqOm8iOaC_R\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-nuGGJ\" data-generated-css=\"brz-css-aL8yG\" data-uniq-id=\"xdI5D\"><span class=\"brz-cp-color8\">Depending on the sex, a distinction is made between<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-7alxn3 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-809gw9\" data-brz-custom-id=\"hdEHMPzGyGx_\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-yT6yk\" data-uniq-id=\"eC5K6\" data-generated-css=\"brz-css-aXM2g\"><span class=\"brz-cp-color8\">DISORDERS OF TESTICULAR FUNCTION IN BOYS<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1qzrpol brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-m1ivje\" data-brz-custom-id=\"d2Qigb1I7Yod\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-hGo55\" data-generated-css=\"brz-css-dRZw_\" data-uniq-id=\"dP7LA\"><span class=\"brz-cp-color8\">The male gonads in boys\u2014the testes\u2014contain seminiferous tubules for the production of sperm cells, as well as specialized cells (Leydig cells) that produce the male sex hormone (testosterone). Both processes are regulated by the upstream control hormones LH and FSH from the pituitary gland.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-2gpzhn brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-1jqxbo9\" data-brz-duration=\"300\" data-brz-custom-id=\"tSvHXLcoOqDi\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MORE<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1kj77yk brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-6scmb6\" data-brz-custom-id=\"fMKV5GOFN5bB\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-gSj0w\" data-uniq-id=\"wjlUZ\" data-generated-css=\"brz-css-gaEh_\" data-asw-org-font-size=\"17\" style=\"font-size: 17px\"><span style=\"font-size: 17px\" class=\"brz-cp-color8\" data-asw-org-font-size=\"17\">Testosterone is particularly important during puberty for the development of male sexual characteristics, the growth spurt, voice deepening, the development of pubic, axillary, and facial hair, increased muscle growth, and the stimulation of sperm production.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-riggn\" data-uniq-id=\"sKPfF\" data-generated-css=\"brz-css-sx4EM\" data-asw-org-font-size=\"17\" style=\"font-size: 17px\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-nutEc\" data-uniq-id=\"erhE0\" data-generated-css=\"brz-css-lENtZ\" data-asw-org-font-size=\"17\" style=\"font-size: 17px\"><span style=\"font-size: 17px\" class=\"brz-cp-color8\" data-asw-org-font-size=\"17\">Disorders of testicular function can affect sperm production, testosterone production, or both. Depending on the case, this may lead to incomplete development of male sexual characteristics, disturbances in pubertal development, and infertility.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-kbKi5\" data-uniq-id=\"oTWft\" data-generated-css=\"brz-css-oOGL7\" data-asw-org-font-size=\"17\" style=\"font-size: 17px\"><\/p>\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-uSRJcAJTJCVu brz-css-jmhtD\" data-uniq-id=\"bgVJI\" data-generated-css=\"brz-css-s1EBV\" data-asw-org-font-size=\"17\" style=\"font-size: 17px\"><span style=\"font-size: 17px\" class=\"brz-cp-color8\" data-asw-org-font-size=\"17\">Causes may include direct damage to the testes, congenital enzyme defects, or again a disturbed secretion of regulatory hormones from the pituitary gland <\/span><a class=\"link--external brz-cp-color3 brz-bold-true\" style=\"font-size: 17px\" href=\"\/en\/fuer-familien\/syndrome\/#klinefelter\" data-brz-link-type=\"external\"><strong>(see Klinefelter syndrome,<\/strong><\/a><span class=\"brz-cp-color8\" style=\"font-size: 17px\" data-asw-org-font-size=\"17\">, <\/span><a class=\"link--external brz-cp-color3 brz-bold-true\" style=\"font-size: 17px\" href=\"\/en\/fuer-familien\/syndrome\/#kallmann\" data-brz-link-type=\"external\"><strong>Kallmann Syndrome).<\/strong><\/a><span class=\"brz-cp-color8\" style=\"font-size: 17px\" data-asw-org-font-size=\"17\">From a therapeutic perspective, male sex hormones must be replaced in order to enable normal pubertal development in adolescents.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-lvzd7z brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1rccrg2\" data-brz-custom-id=\"eMiHzTbPUFQi\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-vSnaY\" data-uniq-id=\"h7b0x\" data-generated-css=\"brz-css-hzDAO\"><span class=\"brz-cp-color8\">DISORDERS OF OVARIAN FUNCTION IN GIRLS<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-9x9z8i brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-sc5v5j\" data-brz-custom-id=\"a2SK6695gAya\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-dEm8f\" data-generated-css=\"brz-css-gL0O8\" data-uniq-id=\"r_EN2\"><span class=\"brz-cp-color8\">In girls, the reproductive organs consist of two ovaries (an ovary shown in the red box), the fallopian tubes, the uterus, and the vagina. At birth, the ovaries of a newborn girl already contain hundreds of thousands of immature egg cells, which mature during puberty. An important role in pubertal development is played by the stimulating gonadotropins (LH, FSH) from the pituitary gland and the female sex hormones estrogen and progesterone produced by the ovaries.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1usqm2q brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-1re9st6\" data-brz-duration=\"300\" data-brz-custom-id=\"yOuFChqBpKuA\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MORE<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1chwzef brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-9xkyz3\" data-brz-custom-id=\"gUueRUmqDVgd\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-wjCF6\" data-uniq-id=\"f2rPM\" data-generated-css=\"brz-css-tKgHX\"><span class=\"brz-cp-color8\">Testosterone is also produced in small amounts in the ovaries (and in the adrenal glands). In addition to pubertal development, female sex hormones are also important for growth and bone health.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-hYNJG\" data-uniq-id=\"bPalE\" data-generated-css=\"brz-css-y9sNv\"><\/p>\n<p data-uniq-id=\"eNk8F\" data-generated-css=\"brz-css-vwh_k\" class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-lIcqV\"><span class=\"brz-cp-color8\">In the case of impaired ovarian function, pubertal development may be incomplete or absent depending on the severity, which can lead to infertility if left untreated. To ensure normal pubertal development in such cases, female sex hormones generally need to be administered according to a carefully age-adjusted regimen (see also <\/span><a class=\"brz-cp-color3 brz-bold-true link--external\" href=\"\/en\/fuer-familien\/syndrome\/#turner\" data-brz-link-type=\"external\"><strong>Turner Syndrome<\/strong><\/a><span class=\"brz-cp-color8\">).<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"hypophyse\" data-brz-id=\"tNV7yiyxitiS_tNV7yiyxitiS\" class=\"brz-section brz-css-d-section brz-css-16y9i5k\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-1qblj7e\" data-brz-custom-id=\"eKQqtNPVbrd2\">\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-kjr4sj\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1flvzo3 brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-c1vcvq4bkz6x-parent brz-css-1i01749\" data-brz-custom-id=\"c1vCVq4bkZ6X\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/12\/pezz-hypophyse.webp\" loading=\"lazy\" alt=\"Bild eines Gehirns. Die Hypophyse ist markiert\" title=\"Pezz-Hypophyse\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"hypophyse-info\" data-brz-id=\"m57sk6VHZwG__m57sk6VHZwG_\" class=\"brz-section brz-css-d-section brz-css-i4j6hn\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-bxtc43\" data-brz-custom-id=\"mmB2NnpvvxYx\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-11cyozb\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-169v3jj brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1in33az\" data-brz-custom-id=\"ktg4Nqyxoq8d\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-text-lg-left brz-tp-lg-heading2 brz-mb-xs-0 brz-mb-sm-0 brz-mb-lg-0 brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-600 brz-lh-lg-1 brz-ls-lg-0 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-70 brz-ft-upload brz-ff-qKYqBgi9lfgW brz-text-xs-left brz-css-eijXa\" data-uniq-id=\"bs_20\" data-generated-css=\"brz-css-uHOey\"><span class=\"brz-cp-color8\">THE PITUITARY GLAND (HYPOPHYSIS)<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-xbx2u9\" data-brz-custom-id=\"df0RlPZcq1EV\">\n<div class=\"brz-row brz-css-d-row-container brz-css-cfbbr4\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-oophbc\" data-brz-custom-id=\"eUYgCDlwPoPz\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-emrn9n\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-qre2pl brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-mqlvgy\" data-brz-custom-id=\"dB5X7qPWlgOE\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_4 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-28 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-sm-heading3 brz-tp-lg-heading3 brz-mt-lg-0 brz-css-xWj6m\" data-generated-css=\"brz-css-f8gtO\" data-uniq-id=\"hadwQ\"><span class=\"brz-underline-true brz-cp-color8\">THE LEADER OF ALL ENDOCRINE GLANDS<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-14vkf1w brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1mwcr0c\" data-brz-custom-id=\"lsc7uKChUGV4\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-b4NA3\" data-uniq-id=\"rUy30\" data-generated-css=\"brz-css-lr_BH\"><span class=\"brz-cp-color8\">The pituitary gland (shown in the blue circle) is the master gland of the endocrine system. It consists of an anterior and a posterior lobe. The anterior lobe produces hormones that regulate other glands in the body: TSH (thyroid-stimulating hormone) controls the function of the thyroid gland, ACTH (adrenocorticotropic hormone) regulates the adrenal cortex, and the gonadotropins LH (luteinizing hormone) and FSH (follicle-stimulating hormone) regulate the testes and ovaries, respectively. In addition, growth hormone and prolactin are produced. The posterior lobe mainly produces vasopressin (antidiuretic hormone, ADH), which in turn regulates urine concentration.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-4h3pj8\" data-brz-custom-id=\"jXdcuGQEMV8l\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-8ai2n4\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1cfq2kr brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1jjvas8\" data-brz-custom-id=\"n0bIdGfHVPom\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-u_hQD\" data-generated-css=\"brz-css-nK85L\" data-uniq-id=\"e7Drq\"><span class=\"brz-cp-color8\">THE CONTROL SYSTEM<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1vsgcj7 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-knm9k9\" data-brz-custom-id=\"nWgXQU_wYXES\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-sBBZ2\" data-generated-css=\"brz-css-eRM6T\" data-uniq-id=\"l7VZ8\"><span class=\"brz-cp-color8\">Regulation takes place through various feedback loops that link the interacting glands. The control system aims to maintain balance and can continuously adapt to new situations. This is usually achieved through negative feedback, meaning that any disturbance in the system triggers a response that counteracts the disturbance.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-sW2_C\" data-generated-css=\"brz-css-boTAo\" data-uniq-id=\"oWrwZ\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-cyEbE\" data-generated-css=\"brz-css-t_uur\" data-uniq-id=\"jc5Kw\"><span class=\"brz-cp-color8\">An insufficient production of pituitary hormones can occur either individually or in various combinations. Combined deficiencies of several hormones are typically seen after tumors or injuries that damage the pituitary gland, or in developmental disorders in which the formation of the pituitary is already impaired before birth.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-mJ0mn\" data-generated-css=\"brz-css-kAJKq\" data-uniq-id=\"gD3tu\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-nKw3n\" data-generated-css=\"brz-css-njyp9\" data-uniq-id=\"icUtG\"><span class=\"brz-cp-color8\">Ein Ausfall verschiedener Hypophysenhormone wird auch mit den Ausdr\u00fccken &#8222;Hypophyseninsuffizienz&#8220; und &#8222;Panhypopituitarismus&#8220; bezeichnet. Die Steuerung der Hypophyse erfolgt durch das Zwischenhirn (roter Kreis).<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-wrapper-clone brz-flex-xs-wrap brz-css-d-cloneable brz-css-10g5z2u\" data-brz-custom-id=\"zcDSUNOGNFiZ\">\n<div class=\"brz-icon__container\" data-brz-custom-id=\"yTYsqywOe3Ph\"><span class=\"brz-icon brz-span brz-css-d-icon-icon brz-css-m65a0r\"><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"ags\" data-brz-id=\"gOu8BtNLxLOf_gOu8BtNLxLOf\" class=\"brz-section brz-css-d-section brz-css-1vsx2wu\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-193sysf\" data-brz-custom-id=\"f12YCinOPpJt\">\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-eq0a3a\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-icxpej brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-ez4uugzvazpi-parent brz-css-gsk0oc\" data-brz-custom-id=\"eZ4uuGZvaZpi\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/11\/pezz-turner.webp\" loading=\"lazy\" alt=\"Model eines Arztes der seine sehr grosse Patientin misst\" title=\"Adrenogenitale Syndrom\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"ags-info\" data-brz-id=\"lz71QDfP3vRc_lz71QDfP3vRc\" class=\"brz-section brz-css-d-section brz-css-1fnvcxy\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-8hwvfz\" data-brz-custom-id=\"a4pDzIESKqsQ\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-3rvjsl\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1q0g3dq brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-30v9ef\" data-brz-custom-id=\"v5_0hGchHpkF\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-text-lg-left brz-tp-lg-heading2 brz-mb-xs-0 brz-mb-sm-0 brz-mb-lg-0 brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-600 brz-lh-lg-1 brz-ls-lg-0 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-70 brz-ft-upload brz-ff-qKYqBgi9lfgW brz-text-xs-left brz-css-bmqcl\" data-uniq-id=\"vu7Je\" data-generated-css=\"brz-css-xmWm0\"><span class=\"brz-cp-color8\">CONGENITAL ADRENAL HYPERPLASIA (CAH)<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-euwj91\" data-brz-custom-id=\"h1AHlgVHjm7X\">\n<div class=\"brz-row brz-css-d-row-container brz-css-1u604vi\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-1ov7ahn\" data-brz-custom-id=\"s7C2XraF95B7\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1oti3la\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1mht1wy brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-h6d7t\" data-brz-custom-id=\"mAmcSOlVZBa9\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-tp-lg-heading3 brz-tp-sm-heading3 brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-28 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_4 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-mt-lg-0 brz-css-gOA8Z\" data-uniq-id=\"wOH7x\" data-generated-css=\"brz-css-eJVXq\"><span class=\"brz-cp-color8 brz-underline-true\">PREVENT VIRILIZATION AND PREMATURE PUBERTY<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-8qel4i brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-3mtwij\" data-brz-custom-id=\"t9DPmu1px8t0\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-bN5bG\" data-generated-css=\"brz-css-hzVAY\" data-uniq-id=\"yWbsE\"><span class=\"brz-cp-color8\">Das adrenogenitale Syndrom (AGS) ist eine genetisch bedingte St\u00f6rung, welche mit einer regional unterschiedlichen H\u00e4ufigkeit auftritt (in der Schweiz etwa 1:5&#8217;000). Durch verschiedene Enzymdefekte kommt es zu einer gest\u00f6rten Produktion von Steroidhormonen in den Nebennierenrinden. Dabei entsteht zum einen zu wenig Cortisol, zum anderen quasi als \u00dcberlaufprodukte zu viele Vorstufenhormone, die in der Regel eine androgene Wirkung (wie m\u00e4nnliche Geschlechtshormone) haben und ihrerseits wieder zu unerw\u00fcnschten Wirkungen f\u00fchren.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-uey23\" data-brz-custom-id=\"uwlJppZFcSlE\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-vrh7lk\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-170tcq8 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1phwqex\" data-brz-custom-id=\"k1X66VFQlMzF\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-qczJJ\" data-uniq-id=\"wYGMr\" data-generated-css=\"brz-css-tKz5t\"><span class=\"brz-cp-color8\">Bei der h\u00e4ufigsten Form des AGS, dem Mangel am Enzym 21-Hydroxylase, kommt es zu einem lebensgef\u00e4hrlichen Mangel an Cortisol. Gleichzeitig entstehen anstelle des Cortisols Hormone vom m\u00e4nnlichen Typ, welche beim weiblichen F\u00f6tus w\u00e4hrend der Schwangerschaft zu einer Verm\u00e4nnlichung des Genitales f\u00fchren. Falls die Krankheit nicht richtig behandelt wird, bleiben die \u00fcbersch\u00fcssigen Hormone vom m\u00e4nnlichen Typ bestehen und f\u00fchren beim M\u00e4dchen weiterhin zur Verm\u00e4nnlichung und bei beiden Geschlechtern zu einer Beschleunigung der biologischen Reifung und auch zu einem deutlich zu fr\u00fchen Eintritt der Pubert\u00e4tsentwicklung.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-k1eFh\" data-uniq-id=\"yuJt8\" data-generated-css=\"brz-css-uwyyh\"><span class=\"brz-cp-color8\"> <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-mpfslx brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-zu7z2s\" data-brz-custom-id=\"vtk38g0x5lOz\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-puodn\" data-generated-css=\"brz-css-oMhTh\" data-uniq-id=\"qdCpX\"><span class=\"brz-cp-color8\">OVERVIEW OF ADRENAL CORTEX FUNCTION<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1vfixqm brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-8daw82\" data-brz-custom-id=\"tJm2EGN7lbgy\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-nPanF\" data-uniq-id=\"qi6kS\" data-generated-css=\"brz-css-f47aw\"><span class=\"brz-cp-color8\">The three main products of the adrenal glands are cortisol, aldosterone, and androgens (male-type hormones). In congenital adrenal hyperplasia, cortisol production is impaired. This leads to excessive stimulation of the adrenal glands by adrenocorticotropic hormone (ACTH). As a result of this overstimulation, increased amounts of androgens are released. Depending on the form of congenital adrenal hyperplasia, aldosterone production may also be impaired.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1huilpl brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-zvxpj2\" data-brz-duration=\"300\" data-brz-custom-id=\"oiV0gvO4O0Ht\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MORE<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-qwdg2a brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-180ah0j\" data-brz-custom-id=\"fCQsmPlaWK63\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-gdTmF\" data-uniq-id=\"pB5t5\" data-generated-css=\"brz-css-kBATT\"><span class=\"brz-cp-color8\">Because in some cases salt regulation is also impaired (due to too little aldosterone), affected children may become life-threateningly ill in the second week of life due to the associated salt loss. The salt loss is accompanied by fluid loss, which can lead to rapid and severe dehydration within a very short time. This can result in severe dehydration and cardiac arrest.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-yrLUj\" data-uniq-id=\"pB5t5\" data-generated-css=\"brz-css-kBATT\"><span class=\"brz-cp-color8\"> <\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-mxFyp\" data-uniq-id=\"pB5t5\" data-generated-css=\"brz-css-kBATT\"><span class=\"brz-cp-color8\">For this reason, all newborns have been screened for this disorder as part of neonatal screening (the so-called Guthrie test) for several years, and treated with medication at an early stage if necessary.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-hQtw5\" data-uniq-id=\"kkL21\" data-generated-css=\"brz-css-dhSrG\"><span class=\"brz-cp-color8\">Treatment mainly consists of replacing the missing cortisol (substitution therapy). The goal of the medication is to ensure that the blood cortisol levels in a child with CAH are as close as possible to those of a healthy child.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-aZ4u6\" data-uniq-id=\"rl_PY\" data-generated-css=\"brz-css-c7PiM\"><span class=\"brz-cp-color8\">This also leads to the normalization of male sex hormone levels. An insufficient dose of cortisol replacement results in elevated androgen levels, which in turn accelerate bone maturation and temporarily increase growth. This is only temporary because puberty\u2014and therefore the end of growth\u2014occurs too early in this situation, ultimately resulting in children being significantly shorter than would be expected based on their parents\u2019 height.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-xLKYY\" data-uniq-id=\"joc15\" data-generated-css=\"brz-css-g8lIf\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-a02hu\" data-uniq-id=\"hxIDj\" data-generated-css=\"brz-css-gXxif\"><span class=\"brz-cp-color8\">To monitor the therapy, blood samples are taken at regular intervals, in which the levels of various hormone precursors are measured. In addition, hand X-rays are regularly performed to assess bone maturation (biological age).<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"diabetes\" data-brz-id=\"fxE0FX5PYuP0_fxE0FX5PYuP0\" class=\"brz-section brz-css-d-section brz-css-hmmlcs\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-nz2wtz\" data-brz-custom-id=\"rNKyPPtUCsCo\">\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-srf63m\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-a0m53a brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-h8yqebf8kco_-parent brz-css-rqldjd\" data-brz-custom-id=\"h8YQeBf8kCO_\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/12\/pezz-diabetes.webp\" loading=\"lazy\" alt=\"Kind bekommt einen Traubenzucker\" title=\"Pezz-Diabetes\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"diabetes-info\" data-brz-id=\"ry6k8jaR6cFy_ry6k8jaR6cFy\" class=\"brz-section brz-css-d-section brz-css-pph4do\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-1obbmf9\" data-brz-custom-id=\"lcmOzXd2YHWG\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-1yze1ne\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1t29so9 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-17ned3r\" data-brz-custom-id=\"wVxvR3S8blEU\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-text-xs-left brz-ff-qKYqBgi9lfgW brz-ft-upload brz-fs-lg-70 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1 brz-vfw-lg-600 brz-fwdth-lg-100 brz-fsft-lg-0 brz-mb-lg-0 brz-mb-sm-0 brz-mb-xs-0 brz-tp-lg-heading2 brz-text-lg-left brz-css-fBpEc\" data-generated-css=\"brz-css-geHcl\" data-uniq-id=\"ashM_\"><span class=\"brz-cp-color8\">DIABETES<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-2h2fo8\" data-brz-custom-id=\"stvw4laEkn91\">\n<div class=\"brz-row brz-css-d-row-container brz-css-2u6t60\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-yw9se2\" data-brz-custom-id=\"dgazMXnrSlhT\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1jto1t\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1ofu2e3 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-i8x8w7\" data-brz-custom-id=\"m6MjTo3yuK7c\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-mt-lg-0 brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_4 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-28 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-sm-heading3 brz-tp-lg-heading3 brz-css-gZ9mz\" data-generated-css=\"brz-css-us_XB\" data-uniq-id=\"bBXb0\"><span class=\"brz-underline-true brz-cp-color8\">LIVE AND AGE WELL WITH DIABETES<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-ryi1zt brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1468lbi\" data-brz-custom-id=\"wYpBulrGDACP\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-of4mG\" data-uniq-id=\"kU6kn\" data-generated-css=\"brz-css-u73ZT\"><span class=\"brz-cp-color8\">Has your child recently been diagnosed with diabetes, and is everyday life now resuming at home, at school, or during training? Would you like to make changes to the current insulin therapy because you are not satisfied or want to make daily life more flexible? These are situations in which personal, professional, and comprehensive care can provide important support.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-wrapper-clone brz-flex-xs-wrap brz-css-d-cloneable brz-css-kxods0\" data-brz-custom-id=\"kCORCqhxcRqA\"><a class=\"brz-a brz-btn brz-css-d-button brz-css-1t9plhg brz-css-d-button-bg brz-css-1bav4px\" target=\"_self\" rel=\"noopener\" href=\"\/en\/das-pezz\/bestellungen\/#diabetes-material-bestellen\" data-brz-link-type=\"external\" data-brz-custom-id=\"vpR38rXa04t0\"><span data-brz-translate-text=\"1\" class=\"brz-span brz-text__editor\">ORDER DIABETES SUPPLIES<\/span><\/a><\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-ndvopj brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1umv01e\" data-brz-custom-id=\"eDeMwn3Ie4dh\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-zmLw6\" data-uniq-id=\"yPyDz\" data-generated-css=\"brz-css-w05uw\"><span class=\"brz-cp-color8\">We aim to help children and adolescents manage their diabetes so that growth and development can proceed normally.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-wvzzrh brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1b3lopk\" data-brz-custom-id=\"vLOGO__Fn4qR\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-bBLRg\" data-generated-css=\"brz-css-srbIy\" data-uniq-id=\"qV9QQ\"><span class=\"brz-cp-color8\">At the same time, the treatment should enable the affected children to lead as normal a daily life as possible and help prevent long-term complications of diabetes through good control.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-14u4dps\" data-brz-custom-id=\"xVckRp58WiYn\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-gef1ku\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1tmgzlu brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-18gig8t\" data-brz-custom-id=\"lUxkzgBLkKvu\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-bX6rT\" data-generated-css=\"brz-css-p1_n3\" data-uniq-id=\"aCVMc\"><span class=\"brz-cp-color8\">As part of personalized care, the treatment plan, insulin therapy, and blood glucose monitoring are tailored to the individual needs of the child and their family. Depending on the child\u2019s and family\u2019s needs, advanced technologies such as insulin pumps or continuous glucose monitoring may be used. The consultation serves to discuss the current situation and to adjust treatment goals and strategies to the needs of the child or adolescent and their family. Our clinic is open to everyone, either through direct registration or by referral from a physician.<\/span><\/p>\n<p class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-xZ4kh\" data-generated-css=\"brz-css-kvy_a\" data-uniq-id=\"bPQ2L\"><\/p>\n<p class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-jChwI\" data-generated-css=\"brz-css-h3bGE\" data-uniq-id=\"sennJ\"><span class=\"brz-cp-color8\">Comprehensive care may include, depending on the situation and age group: a diabetologist, a pediatrician or general practitioner, dietitians and diabetes educators, and psychologists. In most cases, the diabetologist coordinates and organizes the care. Our goal is to work closely with the local resources available in each case<\/span><\/p>\n<p class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-iLA3h\" data-generated-css=\"brz-css-piIDi\" data-uniq-id=\"tniPG\"><span class=\"brz-cp-color8\"> <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1w5x0ov brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-jmt8rj\" data-brz-custom-id=\"dOvC2toDpZvk\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-iIrRD\" data-generated-css=\"brz-css-l_LkA\" data-uniq-id=\"wzplx\"><span class=\"brz-cp-color8\">EXPERIENCES OF OTHER AFFECTED FAMILIES<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1mkrv0r brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1hjbsaz\" data-brz-custom-id=\"yo9yog1bSpTI\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-i3wK4\" data-uniq-id=\"bUd1D\" data-generated-css=\"brz-css-iWTTt\"><span class=\"brz-cp-color8\">F\u00fcr die betroffenen Kinder und Eltern ist es oft hilfreich, wenn Sie von Erfahrungen anderer betroffener Familien h\u00f6ren. Deswegen empfehlen wir allen Familien, Mitglied beim Verein &#8222;Swiss Diabetes Kids&#8220; zu werden. Die Mitgliedschaft ist kostenlos; der Verein hat sich zum Ziel gesetzt, Familien mit diabetischen Kindern zu unterst\u00fctzen und ihnen eine optimale Informations- und Austauschplattform zu bieten.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-wrapper-clone brz-flex-xs-wrap brz-css-d-cloneable brz-css-196tq6o\" data-brz-custom-id=\"vnOr4FOsVBoY\">\n<div class=\"brz-icon__container\" data-brz-custom-id=\"bQPmenkZjBNv\"><span class=\"brz-icon brz-span brz-css-d-icon-icon brz-css-135izvb\"><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section><\/div>\n<p><!-- version:1778143863 --><\/p>","protected":false},"excerpt":{"rendered":"<p>HORMONST\u00d6RUNGEN DAS HORMONSYSTEM IST EIN SYSTEM VON ORGANEN, DIE SICH AUF DIE PRODUKTION UND FREISETZUNG BIOLOGISCH AKTIVER STOFFE (&#8218;HORMONE&#8216;) SPEZIALISIERT HABEN. Hormone \u00fcberbringen Steuersignale, z.B. vom Zwischenhirn zu den Eierst\u00f6cken, die ihrerseits mit einem Hormon die Geb\u00e4rmutter steuern. F\u00fcr das Wachstum und die Entwicklung im Kindesalter sind vor allem folgende hormonproduzierenden Organe (\u00abDr\u00fcsen\u00bb) von Bedeutung: <a href=\"https:\/\/www.pezz.ch\/en\/fuer-familien\/hormonstoerungen\/\" class=\"more-link\">&#8230;<span class=\"screen-reader-text\">  Hormonal 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