17 Hydroxyprogesterone Test: Screen for CAH

17 Hydroxyprogesterone Test: Screen for CAH

The 17-Hydroxyprogesterone Test is a medical tool to check for a genetic condition called congenital adrenal hyperplasia (CAH) and assess its treatment progress. It helps doctors ensure healthy hormone levels in patients.

 

17 Hydroxyprogesterone Test

Here are the basic details of the 17 Hydroxyprogesterone Test.

Also Known As 17-OHP Test, 17-Hydroxyprogesterone Test
Type Blood Test
Purpose Screen and monitor congenital adrenal hyperplasia (CAH)
Sample Type Blood from a vein or heelstick
Preparation No
Fasting No
Gender Unisex
Age Group All
Normal Value 1000-3000 ng/dL
Reporting Time <24 hours
Cost 1200-1800 INR*

*Price range may vary as per location, lab type, and procedure of lab test.

 

17 Hydroxyprogesterone Test Means

The 17 Hydroxyprogesterone Test measures a hormone called 17-OHP in the blood.

  • It's used to screen for congenital adrenal hyperplasia (CAH) and monitor CAH treatment.
  • This test can help detect and manage hormone imbalances.
  • It's a valuable tool for infants with ambiguous genitalia and individuals with CAH symptoms.
  • Results guide treatment decisions and ensure hormone levels are within a healthy range.



17 Hydroxyprogesterone Test Purpose

The purpose of the 17 Hydroxyprogesterone Test is to:

  • Detect congenital adrenal hyperplasia (CAH), a genetic disorder.
  • Tracks treatment effectiveness by evaluating hormone levels.
  • Assists in diagnosing CAH in individuals with symptoms or ambiguous genitalia.
  • Ensures healthy hormone levels, preventing complications related to CAH.
  • Vital for newborns with potential CAH to start treatment early, promoting healthy development.

17 Hydroxyprogesterone Test_ Price, Normal Range, Result, Purpose, Meaning and Interpretation - Drlogy Test

 

17 Hydroxyprogesterone Test Preparation

Here is the basic preparation for the 17 Hydroxyprogesterone Test.

 

Before Test

  • Usually, no specific preparation is needed.
  • Inform your healthcare provider about any medications or supplements you're taking.
  • Follow any fasting or timing instructions provided.

 

During Test

  • A blood sample will be drawn from a vein or obtained from a heelstick (for infants).
  • The procedure is relatively quick and minimally uncomfortable.

 

After Test

  • You can resume regular activities immediately.
  • Results will be reported to your healthcare provider for interpretation and discussion.

 

17 Hydroxyprogesterone Test Procedure

Here is the basic 17 Hydroxyprogesterone Test Procedure.

  • Blood sample drawn from a vein or heelstick (for infants).
  • Needle insertion may cause brief discomfort.
  • Collected sample is sent to a lab for analysis.
  • Results interpreted by healthcare provider.
  • Typically a quick and straightforward procedure.

 

17 Hydroxyprogesterone Test Result

  • Elevated levels suggest possible congenital adrenal hyperplasia (CAH).
  • Normal levels indicate no significant CAH-related hormone imbalance.
  • Interpretation by healthcare provider is necessary to guide further evaluation or treatment.

 

17 Hydroxyprogesterone Test Normal Range

Here is the normal range of the 17 Hydroxyprogesterone Test.

Age Group Normal Range (ng/dL)
Newborns 1,000–3,000
Babies > 24 hours old < 100
Adults < 200
Adult Males < 220
Prepubertal Females < 100
Postmenopausal Females < 51
Menstruating Females 20–100
First Trimester 172–941

 

17 Hydroxyprogesterone Test Interpretation

Here is the Interpretation of the 17 Hydroxyprogesterone Test.

Result Interpretation
Elevated Possible CAH (Congenital Adrenal Hyperplasia)
Normal No significant hormone imbalance.
Between 200-800 ACTH test may be suggested.

Elevated 17-OHP may indicate possible CAH, while normal levels suggest no significant hormone imbalance.

 

17 Hydroxyprogesterone Test High Levels

Here are some possible causes of high Hydroxyprogesterone levels:

Possible Causes Effects
Congenital Adrenal Hyperplasia (CAH) Genetic disorder affecting hormone production.
Adrenal Tumors Abnormal growths in the adrenal glands may increase 17-OHP.
Late-Onset CAH A milder form of CAH with delayed onset may lead to elevated levels.
Ovarian Tumors Certain ovarian tumors can impact hormone levels.

High 17-OHP levels can result from CAH, adrenal or ovarian tumors, and late-onset CAH.

 

17 Hydroxyprogesterone Test Low Levels

Here are some possible causes of low Hydroxyprogesterone levels:

Possible Causes Description
Cortisol Replacement Therapy Treatment for conditions like Addison's disease can lower 17-OHP.
Adrenal Insufficiency Insufficient adrenal gland function can result in reduced 17-OHP.
Genetic Enzyme Deficiencies Inherited enzyme deficiencies can affect hormone production.

Low 17-hydroxyprogesterone levels may result from cortisol replacement therapy, adrenal insufficiency, or genetic enzyme deficiencies.

 

Specimen Requirements For 17 Hydroxyprogesterone Test

Here are the specimen requirements for the 17 Hydroxyprogesterone Test.

Specimen

Serum, frozen

Volume

1.5 mL

Container

Red-top tube only. Do not use gel-barrier tube.

Collection

Separate serum within 45 min, use plastic tube. Submit separate frozen samples for multiple tests.

Storage

Freeze.

Sample Stability

Temperature

Period

Room temperature

2 days

Refrigerated

2 days

Frozen

90 days

 

17 Hydroxyprogesterone Test is Safe?

17 Hydroxyprogesterone Test is generally safe and minimally invasive blood test.

  • Standard medical procedure with low risk.
  • Rarely, minor discomfort or bruising at the needle insertion site.

 

When Do You Get 17 Hydroxyprogesterone Test Results? 

  • 17 Hydroxyprogesterone test results typically available 24 hours after birth.
  • Provides timely information for early diagnosis if needed.
  • Enables prompt management and treatment if congenital adrenal hyperplasia (CAH) is suspected.

 

17 Hydroxyprogesterone Test Limitation

Here is the basic limitation of 17 Hydroxyprogesterone Test.

  • Limited specificity for CAH diagnosis.
  • Interpretation can be complex.
  • May require additional confirmatory tests.
  • Levels influenced by various factors.
  • False positives and negatives possible.

 

17 Hydroxyprogesterone Test Risk Factors

Here are some of the risk factors of the 17 Hydroxyprogesterone Test.

  • Family history of congenital adrenal hyperplasia (CAH) increases the risk of inheriting the condition.
  • Certain genetic mutations can predispose individuals to CAH.
  • Consanguineous (closely related) parents have a higher risk of having children with CAH.
  • Ethnicity plays a role; CAH is more common in certain populations.
  • Maternal exposure to specific medications or environmental factors during pregnancy may increase CAH risk.

 

Doctor Recommendations After 17 Hydroxyprogesterone Test Result

 Here are the Doctor's recommendations or consult a specialist after the 17 Hydroxyprogesterone Test.

17-OHP Test Result Doctor to Visit Reason
High Endocrinologist Possible CAH
Normal No specific doctor No significant issues
Low No specific doctor No significant issues

Visit an endocrinologist for high 17-OHP results indicating possible CAH; for normal or low results, no specific doctor visit is necessary.

 

17 Hydroxyprogesterone Test Price

Here are the estimated 17 Hydroxyprogesterone Test Prices in India with different top cities:

City

Price Range (INR)*

Mumbai

1200-1800

New Delhi

1200-1800

Bangalore

1200-1800

Hyderabad

1100-1900

Kolkata

1200-1800

Pune

1100-1900

Lucknow

1200-1800

Noida

1100-1900

Surat

1100-1900

Gurugram

1200-1800

Patna

1100-1900

Chennai

1200-1800

Jaipur

1100-1900

Ahmedabad

1200-1800

*Prices are approximate and vary depending on a specific laboratory or healthcare facility.

 

Summary

Overall, The 17 Hydroxyprogesterone Test screens for congenital adrenal hyperplasia (CAH) and monitors hormone levels, helping diagnose and manage this genetic disorder. Also check Drlogy Test for detailed information about all medical tests for patients, doctors, scholers and medical students.

 

Reference

  • Newborn screening - Wikipedia [1].
  • High 17-hydroxyprogesterone level in newborn screening ... - NIH [2].

 

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FAQ

What is a 17-Hydroxyprogesterone test?

The 17-Hydroxyprogesterone (17-OHP) test is a blood test that measures the levels of a hormone in the body, which is crucial for adrenal gland function and helps diagnose certain medical conditions.

Why is the 17-OHP test important?

This test is important for diagnosing and monitoring conditions like congenital adrenal hyperplasia (CAH), an inherited disorder that affects hormone production. Early detection can lead to better management and treatment.

How is the 17-OHP test performed?

A healthcare professional will draw a blood sample, usually from a vein in your arm. The blood is then sent to a lab for analysis. It's a relatively simple and quick procedure that is typically well-tolerated.

What is the normal range for 17-OHP levels?

The normal range for 17-OHP levels can vary depending on the laboratory and the specific assay used. Your healthcare provider will interpret your results and determine if they fall within the expected range.

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