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CA 125 Tumor Marker (Serum) – Fluid

Published: August 9, 2026Updated: August 17, 2026

This test measures the CA 125 protein, which is often elevated in certain cancers, including ovarian cancer, but can also appear in other conditions.

Quick summary

["CA 125 helps doctors monitor cancer progression or response to treatment."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
11210-2
Short code
CA125
Synonyms
Cancer Ag125 Fld-aCnc
Category
chemistry
Sample
serum
Container
Red-top serum tube or SST (serum separator tube)
Units
N/A
Ref low
0
Ref high
35
Critical range
0.5 N/A – —
Fasting
false
Population
adult
Sex
female
Age range
18–65 years
Method
Immunoassay (Chemiluminescent or Electrochemiluminescent)
CPT
86304
SNOMED
104686001
Specimen volume
1-2 mL serum
Stability
Room temperature: 8 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 3 months
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What Is CA 125 Used For?

CA 125 is primarily used as a screening or monitoring tool for ovarian cancer and sometimes for other gynecologic cancers. It may also help track how well treatment is working or detect recurrence. However, it is not a definitive diagnostic test on its own and is often used alongside other tests and imaging.

How Is the Test Performed?

A blood sample is taken from a vein, usually in your arm. The blood is then sent to a lab for analysis. The test looks for the CA 125 protein in your serum (the liquid part of blood after clotting).

What Might Affect Results?

Several factors can influence CA 125 levels, including certain medical conditions (like endometriosis, pelvic inflammatory disease, or benign ovarian cysts), pregnancy, and some medications. Always inform your healthcare provider about any conditions or treatments you’re receiving.

When Might You Need This Test?

You may need a CA 125 test if you have symptoms of ovarian cancer (such as bloating, pelvic pain, or unexplained weight loss), if you’re at higher risk due to family history, or as part of routine monitoring for cancer treatment.

Reference range

Reference values vary by specimen type and laboratory. Generally <35 U/mL in serum is considered normal for healthy adults. Body fluid values should be interpreted in clinical context with paired serum measurements.N/A

Specimen: serum

No special preparation required. Specimen should be collected prior to initiation of chemotherapy or radiotherapy when possible for baseline assessment.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

CA 125

Frequently asked questions

Why might my CA 125 test result be higher than expected?
Higher-than-normal CA 125 levels can be caused by ovarian cancer, but other conditions like endometriosis, pelvic infections, or even certain medications may also raise it. Your doctor will consider your medical history and other test results to understand the cause.
Can CA 125 levels go back to normal after treatment?
Yes, CA 125 levels often decrease after successful cancer treatment, but they may not always return to the lowest possible range. Regular monitoring helps track progress, and your doctor will use this along with other tests to guide care.
Is CA 125 a reliable test for diagnosing ovarian cancer?
CA 125 is not a definitive diagnostic test alone. It is used alongside other tests, like ultrasounds or CT scans, and is most helpful in monitoring cancer progression or recurrence. False positives and negatives can occur, so your doctor will rely on a combination of evidence to make a diagnosis.
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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 17, 2026. · Read our editorial policy