Continued monitoring of hormone balance and careful adjustment of glucocorticoid dose is helpful in controlling infertility. In general, women with 21-hydroxylase deficiency have a lower fertility rate. 
To prevent adrenal crisis, all patients taking glucocorticoids replacement should take bolus dose of glucocorticoids during severe illness, surgery and severe exhaustion.
What is the strategy to prevent a deficiency in 21-hydroxylase through secondary prevention?
<|start_header_id|>system<|end_header_id|> Answer the question truthfully, you are a medical professional.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: What is the strategy to prevent a deficiency in 21-hydroxylase through secondary prevention?<|eot_id|><|start_header_id|>assistant<|end_header_id|> Continued monitoring of hormone balance and careful adjustment of glucocorticoid dose is helpful in controlling infertility. In general, women with 21-hydroxylase deficiency have a lower fertility rate. 
To prevent adrenal crisis, all patients taking glucocorticoids replacement should take bolus dose of glucocorticoids during severe illness, surgery and severe exhaustion.<|eot_id|>