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20ohpsermcnc

Published: August 9, 2026Updated: August 10, 2026

A blood test that measures the level of 17-hydroxyprogesterone, a hormone produced by the adrenal glands, to help diagnose certain hormonal disorders.

Quick summary

{"Measures 17-hydroxyprogesterone hormone levels in blood","Mainly used to screen for and monitor congenital adrenal hyperplasia (CAH)","A simple blood draw is required; no special preparation typically needed","Results help doctors diagnose adrenal gland disorders","Abnormal levels may indicate genetic conditions or adrenal tumors"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 10, 2026Editorial policy

Key facts at a glance

LOINC
1678-2
Short code
17-OHP
Synonyms
20OHP Ser-mCnc
Category
chemistry
Sample
serum
Container
Serum separator tube (SST, gold top) or red top plain tube
Units
N/A
Ref low
0.2
Ref high
2.5
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
Immunoassay (Chemiluminescent or Enzyme-linked) or Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
CPT
83498
SNOMED
31304003
Specimen volume
1.0 mL serum minimum (2.0 mL preferred)
Stability
Room temperature: 24 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 30 days. Avoid repeated freeze-thaw cycles.
Hemolysis max
50
Lipemia max
300
Icterus max
20
TAT
24–72 hours
Order
routine

What is this test?

The 17-Hydroxyprogesterone (17-OHP) test measures the amount of 17-hydroxyprogesterone in your blood. This hormone is produced by the adrenal glands, which sit on top of your kidneys. 17-OHP is an important intermediate in the production of cortisol, a hormone that helps your body respond to stress, maintain blood pressure, and regulate metabolism.

Why is this test performed?

Doctors order this test primarily to screen for and diagnose congenital adrenal hyperplasia (CAH), a group of genetic disorders that affect the adrenal glands' ability to produce cortisol and sometimes aldosterone. The test may also be used to monitor treatment for CAH or to investigate symptoms such as early puberty, irregular periods, or excessive hair growth in women.

How is the test done?

A healthcare professional will draw a small sample of blood from a vein in your arm using a needle. The blood sample is then sent to a laboratory for analysis. The test typically requires no special preparation, though your doctor may ask you to schedule it at a specific time of day, as hormone levels can vary.

What do the results mean?

Normal 17-OHP levels vary by age, sex, and in women, by menstrual cycle phase. Elevated levels may indicate congenital adrenal hyperplasia, adrenal tumors, or certain forms of adrenal hyperplasia. Low levels are less common but may suggest adrenal insufficiency. Your doctor will interpret your results based on your specific situation.

Are there any risks?

The risks associated with this test are minimal and include slight pain or bruising at the injection site, lightheadedness, and in rare cases, infection. These risks are generally temporary and resolve quickly.

Reference range

Reference ranges vary by laboratory, method, and clinical context. Typical adult reference ranges: Adult males: 0.2-1.0 ng/mL (0.6-3.0 nmol/L); Adult females (follicular phase): 0.2-0.8 ng/mL; Adult females (luteal phase): 0.5-2.5 ng/mL; Premenopausal females: 0.2-2.0 ng/mL. Newborn screening cutoff for congenital adrenal hyperplasia: typically >30 ng/mL at 24-48 hours of age. Consult laboratory-specific reference ranges.N/A

Specimen: serum

No special preparation required. Ideally, morning specimen preferred due to diurnal variation. Inform the laboratory of current medications, especially corticosteroids or hormonal therapies. For females, provide menstrual cycle phase or pregnancy status.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Do I need to fast before this test?
Typically, no fasting is required for the 17-OHP test. However, follow your doctor's specific instructions, as they may have reasons to request fasting based on your individual health situation.
Can this test be done during pregnancy?
Yes, the test can be performed during pregnancy if needed. 17-OHP levels are sometimes monitored in pregnant women who have a family history of CAH or have previously had a child with the condition.
What happens if my 17-OHP level is high?
An elevated 17-OHP level usually requires further testing to confirm the cause. Your doctor may recommend additional blood tests, genetic testing, or imaging studies of the adrenal glands to determine if CAH or another condition is present.
Is this test only for children?
No, while 17-OHP is commonly used to screen newborns for CAH, the test is also performed on adults who show symptoms of adrenal disorders, such as irregular menstrual periods, hirsutism (excessive hair growth), or infertility.
How long does it take to get results?
Results are typically available within a few days to a week, depending on the laboratory. Your doctor's office will contact you with the results and discuss what they mean for your health.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 10, 2026. · Read our editorial policy