CYP19A1 and hyperinsulinemic hypoglycemia, familial, 4: Most clinicians are hesitant to use AIs in girls in order to increase AH, and in the most recent review AIs were considered “contraindicated in girls with short stature due to concerns about precipitating ovarian cysts with risk of torsion” (3), based on the occurrence of ovarian torsion in patients with congenital aromatase deficiency.