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Cancer antigen 125 (CA 125) screening test

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

This test measures the levels of a protein called cancer antigen 125 in your blood. It may be used as part of monitoring for certain cancers or to check for early signs of recurrence.

Quick summary

["CA 125 helps track ovarian, peritoneal, or other gynecologic cancers, but it’s not a definitive test for cancer diagnosis alone."]

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

Key facts at a glance

LOINC
68925-7
Short code
CA724-CSF
Synonyms
Cancer Ag72-4 CSF-aCnc
Category
chemistry
Sample
csf
Container
Sterile CSF collection tube (polypropylene)
Units
N/A
Ref low
0
Ref high
6
Critical range
0.5 N/A – —
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Electrochemiluminescence Immunoassay (ECLIA)
CPT
86316
SNOMED
115341000
Specimen volume
1.0-2.0 mL of cerebrospinal fluid
Stability
Room temperature: 8 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C): 6 months
Hemolysis max
200
TAT
24–72 hours
Order
routine

What Is CA 125 Used For?

CA 125 is primarily used in the context of ovarian cancer screening and surveillance. It may also be checked in patients with known gynecologic cancers to monitor for recurrence or spread. Some doctors use it as part of a broader evaluation for other conditions, such as endometriosis or peritoneal mesothelioma, though these uses are less common.

How Is the Test Performed?

A blood sample is taken from a vein, usually in your arm. The sample is sent to a lab for analysis. CA 125 levels are measured using an immunoassay method, which detects the protein in your blood.

What to Expect Before the Test

There are no special preparations needed for this test. You can eat, drink, or take medications as usual. If you’re on blood thinners, let your healthcare provider know before the test.

Potential Side Effects

Most people experience only minor discomfort from the needle stick, which may include slight bruising or swelling at the injection site. Rarely, some people may feel lightheaded or dizzy.

Reference range

Not established for cerebrospinal fluid; serum reference: <6.0 U/mL. CSF values are typically lower than serum and clinical interpretation requires correlation with imaging and cytology.N/A

Specimen: csf

No special patient preparation required. Fasting is not necessary.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

CA 125 is a marker often elevated in ovarian cancer and other gynecologic cancers. While it can signal potential cancer activity, it is not specific to cancer alone. High levels may also be found in conditions like endometriosis, pelvic inflammatory disease, or other benign conditions. Doctors use CA 125 alongside other tests, imaging, and clinical findings to make a diagnosis or assess treatment progress. It is most useful in monitoring known cancer cases for recurrence or progression.

Short name

CA 125 Screening

Frequently asked questions

Why might my doctor order a CA 125 test?
Your doctor may order a CA 125 test if you have a history of ovarian or other gynecologic cancers, or if they suspect cancer recurrence. It may also be used in screening for ovarian cancer in high-risk individuals or during follow-up for conditions like endometriosis.
What do CA 125 levels mean?
CA 125 levels alone do not diagnose cancer. They are part of a larger evaluation. Low levels usually indicate no cancer activity, but high levels may suggest cancer or other conditions. Your doctor will consider your symptoms, medical history, and other test results to interpret the results.
Can CA 125 levels change over time?
Yes, CA 125 levels can fluctuate. They may rise before cancer symptoms appear or during treatment. Regular monitoring helps track changes, but it’s not a standalone indicator of cancer progression or remission.
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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