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Dehydroepiandrosterone sulfate (DHEA-S) in serum/plasma

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

This test measures the level of dehydroepiandrosterone sulfate (DHEA-S), a hormone produced primarily by the adrenal glands. It reflects your body’s natural production of this hormone, which plays a role in energy levels, immune function, and sex hormone balance.

Quick summary

["DHEA-S levels can help assess adrenal gland health and hormone balance."]

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

Key facts at a glance

LOINC
13863-6
Short code
DHEA 1h p 250 ug ACTH SerPl-mCnc
Synonyms
DHEA 1h p 250 ug ACTH SerPl-mCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
10
Ref high
60
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82626
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why Might You Need This Test?

Your healthcare provider may order a DHEA-S test to evaluate adrenal function, especially if you have symptoms like fatigue, low sex drive, muscle weakness, or unexplained weight changes. It can also be used in conditions like adrenal insufficiency, Cushing’s syndrome, or to monitor hormone therapy.

What Does a Low or High Level Mean?

Low DHEA-S levels may indicate adrenal gland problems, such as chronic stress, autoimmune disorders, or certain medications affecting hormone production. High levels could suggest adrenal tumors, hyperfunction, or other metabolic conditions. However, results depend on your overall health and medical history.

How Is This Test Done?

A blood sample is drawn from a vein in your arm. The sample is sent to a lab where it is analyzed using a chemiluminescent immunoassay (CLIA) method to measure DHEA-S concentration.

What Should You Expect Before the Test?

No special preparation is usually needed, but you may be asked to avoid certain medications (like steroids) that could affect hormone levels. Fasted or non-fasted blood draws are typically acceptable, but always follow your provider’s instructions.

Reference range

NCBI: ACTH 10-60 pg/mLN/A

Specimen: serum

Typically collected in the morning (8-10 AM). Inform your provider if taking steroid medications.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: DHEA-S plays a role in energy metabolism, immune response, and sex hormone production. It is often used as a biomarker for adrenal health, particularly in conditions like Addison’s disease or adrenal fatigue. Elevated levels may also be seen in conditions like Cushing’s syndrome or adrenal adenomas.

Short name

DHEA-S

Frequently asked questions

What causes DHEA-S levels to change?
DHEA-S levels can fluctuate due to factors like age (typically declines with age), stress, certain medications (e.g., corticosteroids), or underlying health conditions like adrenal tumors or autoimmune diseases. Lifestyle factors, such as diet and exercise, may also influence hormone production.
How long does it take to get results?
Results are usually available within 1 to 3 business days, depending on your lab and healthcare provider. Follow-up may be needed if results are outside expected ranges or if further testing is required.
Can DHEA-S levels be affected by diet?
Yes, diet can influence DHEA-S levels indirectly. A balanced diet rich in nutrients like zinc, magnesium, and healthy fats may support adrenal function, but extreme diets or deficiencies in certain vitamins can sometimes lower hormone production.
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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