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Cancer Antigen 125 (CA-125) Serum Immunoassay

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

This test measures the level of CA-125, a protein linked to certain types of ovarian cancer and other conditions affecting the ovaries, uterus, or peritoneum.

Quick summary

["CA-125 helps monitor cancer progression, treatment response, or recurrence in certain cancers."]

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

Key facts at a glance

LOINC
15157-1
Short code
CA125
Synonyms
Cancer Ag125 SerPl Dil-aCnc
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red-top tube for serum; lavender-top (EDTA) or green-top (heparin) for plasma
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
dilution
CPT
86304
SNOMED
104734000
Specimen volume
1-2 mL of serum or plasma
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 biomarker to detect or monitor ovarian cancer and other gynecological cancers. It may also be checked in patients with symptoms of peritoneal spread of cancer or other conditions affecting the pelvic organs, such as endometriosis or benign ovarian cysts, though these conditions do not always raise CA-125 levels significantly.

When Might You Need This Test?

Your healthcare provider may order a CA-125 test if you have symptoms like persistent abdominal pain, bloating, or unexplained weight loss. It may also be used as part of routine monitoring for ovarian cancer patients or those at higher risk due to family history.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to fast for 8–12 hours before the blood draw if instructed by your doctor. Wear a comfortable shirt for easy access to your arm.

What Happens During the Test?

A healthcare professional will insert a small needle into a vein in your arm to collect a blood sample. You may feel a brief pinch, but the process is quick and typically painless.

Reference range

Normal: <35 U/mL. Values may vary slightly by laboratory and assay methodology.N/A

Specimen: serum

No special preparation required. Specimen collection is not affected by fasting status.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: CA-125 in Cancer Detection and Monitoring

Short name

CA-125 Blood Test

Frequently asked questions

Why is CA-125 Important in Cancer Care?
CA-125 is most critical in ovarian cancer screening and surveillance. Elevated levels may indicate ovarian cancer or other conditions affecting the ovaries, but they are not specific enough alone to diagnose cancer. Levels often rise during pregnancy, menstruation, or with other non-cancerous conditions, so results should always be interpreted by a medical professional in context with symptoms and other tests.
How Does CA-125 Help Track Cancer Treatment?
After treatment, CA-125 levels can help assess whether cancer is responding to therapy or if it has returned. A steady decline suggests effective treatment, while rising levels may signal recurrence or treatment resistance.
Does CA-125 Predict Cancer Risk?
CA-125 alone does not predict cancer risk. It is used in conjunction with other tests, imaging, and clinical findings to assess likelihood. High-risk individuals (e.g., those with genetic mutations like BRCA) may have more frequent monitoring, but CA-125 is not a standalone screening tool for early detection.
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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