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Insulin-like Growth Factor I (IGF-I) with Placental Growth Factor (PlGF) ratio

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

This test measures the ratio of IGF-I, a hormone that supports growth and development, to PlGF, a protein involved in blood vessel formation. It helps assess how your body’s growth signals and blood supply are balanced, particularly in conditions affecting pregnancy or fetal development.

Quick summary

["This ratio helps evaluate growth hormone function and placental health during pregnancy."]

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

Key facts at a glance

LOINC
38492-5
Short code
IGF-I SerPl-aCnc
Synonyms
IGF-I SerPl-aCnc
Category
hormone
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
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 This Test Might Be Ordered

Your healthcare provider may recommend this test if you’re experiencing complications related to pregnancy, such as gestational diabetes, preeclampsia, or concerns about fetal growth. It can also be used to monitor conditions like chronic hypertension or kidney disease that may affect these hormones and proteins.

What to Expect Before the Test

No special preparation is needed for this test. Blood is drawn from a vein, usually in your arm. You may feel a slight pinch when the needle is inserted, but it should only take a few minutes. If you’re pregnant, let your provider know about any medications or supplements you’re taking.

What the Results Mean

The test compares IGF-I and PlGF levels to determine the ratio. While specific reference ranges vary by lab, abnormal ratios may signal issues like poor placental function, growth restrictions, or metabolic disturbances. Your provider will interpret results in the context of your overall health and medical history.

Common Conditions Monitored

This test is often used to monitor pregnancies at high risk for complications, such as those with diabetes, hypertension, or multiple fetuses. It may also help assess conditions like chronic kidney disease or growth hormone deficiencies in non-pregnant individuals.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

IGF-I/PlGF Ratio

Frequently asked questions

What does an abnormal result mean for my health?
An abnormal ratio could signal potential issues with how your body’s growth signals or placental function are working. Your provider will discuss findings with you and may recommend further testing or adjustments to your care plan, such as monitoring during pregnancy or managing underlying conditions.
Do I need to fast before this test?
No fasting is required for this blood test. However, always follow your provider’s instructions if they’ve ordered other tests that do require fasting.
How long will it take to get my results?
Results are typically available within 1–3 business days, depending on your lab and provider’s workflow. Your healthcare team will contact you once they’re ready to review them with you.
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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 16, 2026. · Read our editorial policy