The hidden androgen — often elevated in PCOS when testosterone looks normal
Androstenedione sits at the crossroads of adrenal and gonadal androgen production — elevated levels can explain symptoms that testosterone alone misses.
Androstenedione is an androgen precursor produced by both the adrenal glands and ovaries (in women) or testes (in men). It can be converted into testosterone and oestrogen. Elevated androstenedione is a common finding in PCOS, congenital adrenal hyperplasia, and adrenal tumours. This test is often ordered as part of an androgen excess workup alongside testosterone, DHEA-S, and SHBG.
Reference ranges differ by sex and age — see your full report for lab-specific context
Within normal limits — sex and age-specific ranges apply
Low androstenedione is uncommon outside of adrenal insufficiency — discuss with your healthcare practitioner if unexpected
Elevated androstenedione may warrant further investigation of adrenal or ovarian androgen sources — discuss with your healthcare practitioner
Reference ranges vary by laboratory and personal context. Your result is shown against the lab's range in your dashboard, alongside what it means.
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