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Pregnanediol and Creatinine, Urine or Stool

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

This test measures pregnanediol, a progesterone metabolite, alongside creatinine in a urine or stool sample. The exact sample type and ratio reporting should be confirmed.

Quick summary

["This test can help evaluate progesterone-related activity, but the sample type and results must be interpreted in your clinical context."]

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

Key facts at a glance

LOINC
34359-0
Short code
Pregnanediol/Creat Ur-sRto
Synonyms
Pregnanediol/Creat Ur-sRto
Category
kidney
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

Pregnanediol is a breakdown product of the hormone progesterone. This test measures pregnanediol together with creatinine, which may be used to adjust the pregnanediol result for sample concentration.

Why might I need this test?

A clinician may order this test to evaluate ovulation, fertility, or other aspects of reproductive hormone balance. It may also be used to follow progesterone-related changes over time.

How is the test performed?

A urine or stool sample is collected and tested in a laboratory. The order code appears to include both urine and stool, so confirm which specimen your clinician wants and whether the result will be reported as a pregnanediol-to-creatinine ratio.

How do I prepare for the test?

Follow the instructions provided with your order. If a urine test is ordered, mention whether it is a spot sample or a timed collection, such as a 24-hour collection; for stool, use the clean container supplied by the laboratory unless told otherwise.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A higher pregnanediol result may reflect increased progesterone production, which can occur around ovulation or during pregnancy. A lower result may be associated with reduced progesterone activity, although interpretation depends on the reason for testing and the point in the menstrual cycle. Creatinine is generally used for context or normalization, and stool results may require different interpretation than urine results.

Short name

Pregnanediol-Creatinine Test

Frequently asked questions

What does pregnanediol measure?
Pregnanediol is a metabolite formed when the body breaks down progesterone. Its level can provide information about progesterone activity.
Why is creatinine measured with pregnanediol?
Creatinine can help account for differences in sample concentration, particularly in urine. When reported, the two measurements may be expressed as a ratio.
Should I provide a urine sample, a stool sample, or both?
The compressed test code includes both urine and stool abbreviations. Check your order or contact the laboratory before collection to confirm the required specimen.
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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