Skip to content

Endogenous steroid hormone profile (serum/plasma)

Published: August 9, 2026Updated: August 16, 2026

This test measures various naturally occurring hormones produced by your body’s endocrine glands, including cortisol, aldosterone, and sex hormones like estrogen and testosterone. It helps assess hormone balance, potential deficiencies, or excesses that may affect metabolism, reproduction, or stress responses.

Quick summary

["This test evaluates your body’s hormone system for conditions like adrenal disorders, thyroid issues, or reproductive health concerns."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
112028-6
Short code
Dx Spec Endscpy
Synonyms
Dx Spec Endscpy
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
endoscopy
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

What This Test Measures

The test typically includes measurements for key steroid hormones such as cortisol (a stress hormone), aldosterone (regulates blood pressure), and sex hormones like testosterone (in men) or estrogen (in women). Some tests may also include dehydroepiandrosterone (DHEA), progesterone, or other adrenal or gonadal hormones depending on clinical needs.

Why It Matters in Your Health

Hormonal imbalances can lead to symptoms like fatigue, weight changes, irregular periods, high blood pressure, or difficulty managing stress. This test helps doctors diagnose conditions like Cushing’s disease, adrenal insufficiency, or hormonal disorders that require treatment.

Common Conditions Evaluated

This test is often used to diagnose or monitor conditions such as adrenal gland disorders (e.g., Addison’s disease or Cushing’s syndrome), thyroid dysfunction, or reproductive hormone imbalances (e.g., polycystic ovary syndrome or hypogonadism). It may also be part of a broader evaluation for metabolic or stress-related health concerns.

Sample Collection and Preparation

A blood sample is drawn from a vein in your arm. The blood is collected in a special tube that separates serum (liquid part) or plasma (blood without clotting factors) for testing. You may be asked to fast for 8–12 hours before the test if cortisol or other hormones are affected by food.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

What might cause this test to be ordered?
Your doctor may recommend this test if you have symptoms like unexplained weight changes, fatigue, irregular periods, high blood pressure, or signs of stress (e.g., frequent illness). It may also be part of routine screening for hormonal conditions or before certain treatments that affect hormones.
How do results affect my treatment plan?
If your hormone levels are outside expected ranges, your doctor will work with you to determine the cause and recommend treatments, such as medication, lifestyle changes, or further testing. For example, low cortisol might lead to hormone replacement therapy, while high testosterone could prompt evaluation for conditions like polycystic ovary syndrome.
Can I prepare for this test differently based on my condition?
Yes. If your doctor suspects adrenal issues (e.g., cortisol), you may need to take the test at specific times of day (e.g., morning for cortisol) or under controlled conditions (e.g., fasting). Always follow your doctor’s instructions to ensure accurate results. Avoid smoking or caffeine before the test if advised.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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 16, 2026. · Read our editorial policy