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17ohp2dpdexserplmcnc

Published: August 9, 2026Updated: August 15, 2026

A blood test that measures 17-hydroxyprogesterone levels after dexamethasone suppression to help diagnose adrenal gland disorders.

Quick summary

{"Measures 17-OHP hormone in blood 2 days after taking dexamethasone","Mainly used to screen for and diagnose congenital adrenal hyperplasia (CAH)","Helps doctors evaluate how your adrenal glands are functioning","A simple blood test performed at a laboratory","Results help differentiate between various adrenal conditions"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 15, 2026Editorial policy

Key facts at a glance

LOINC
57549-8
Short code
17-OHP
Synonyms
17OHP 2D p Dex SerPl-mCnc
Category
chemistry
Sample
serum
Container
Serum Separator Tube (SST) or plain red top tube
Units
N/A
Ref low
0
Ref high
2
Critical range
— – 10 N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
Chemiluminescence Immunoassay (CLIA) or Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
CPT
80426
SNOMED
31318003
Specimen volume
1.0-2.0 mL serum minimum
Stability
Room temperature: 24 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C): 30 days; Avoid repeated freeze-thaw cycles
Hemolysis max
50
Lipemia max
300
Icterus max
20
TAT
24–72 hours
Order
routine

What is this test?

The 17-Hydroxyprogesterone (17-OHP) test measures the amount of a steroid hormone called 17-hydroxyprogesterone in your blood. This test is performed specifically after you have taken dexamethasone (a corticosteroid medication) for two days. Dexamethasone helps suppress normal adrenal hormone production, which allows doctors to see how your adrenal glands respond and identify certain disorders.

Why do I need this test?

Your doctor may order this test if they suspect you have a disorder affecting your adrenal glands, particularly congenital adrenal hyperplasia (CAH). CAH is a genetic condition that affects the adrenal glands' ability to produce cortisol and sometimes aldosterone. This test helps doctors confirm or rule out this condition and assess how well treatment is working if you have already been diagnosed.

How is the test performed?

First, you will take dexamethasone pills as prescribed by your doctor, usually for two days. On the third day, a healthcare professional will draw a blood sample from a vein in your arm. The blood sample is then sent to a laboratory for analysis. The actual blood draw only takes a few minutes and is generally well-tolerated.

How to prepare for the test

Follow your doctor's instructions exactly regarding dexamethasone dosage and timing. Do not stop taking any prescribed medications unless your doctor tells you to. Inform your doctor about all medications, supplements, or herbal products you are taking, as some substances may affect the test results. You may need to fast (not eat or drink anything except water) for a certain period before the blood test—ask your healthcare provider for specific instructions.

Understanding your results

Test results are measured in nanograms per deciliter (ng/dL) or other units depending on the laboratory. Normal results vary by age, sex, and whether you have CAH. Your doctor will interpret your results in context with your symptoms, medical history, and other test findings. Elevated 17-OHP levels after dexamethasone suppression may indicate certain forms of CAH or other adrenal disorders.

Reference range

Adults: <2.0 ng/mL (6.0 nmol/L); Children: Age-dependent; Post dexamethasone suppression: <1.0 ng/mL suggests adequate suppression; Reference ranges may vary by laboratory methodologyN/A

Specimen: serum

Patient must receive dexamethasone 0.5-2.0 mg every 6 hours for 2 days prior to specimen collection; specimen collected exactly 2 days after initial dexamethasone dose; inform laboratory of dexamethasone dose and timing

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Is the 17-OHP test painful?
The test involves a simple blood draw, which may cause brief discomfort or a minor sting when the needle is inserted. This discomfort is usually minimal and goes away quickly. Some people may experience slight bruising at the injection site afterward.
Are there any risks associated with this test?
The risks are minimal and similar to any standard blood test. These may include slight bleeding, bruising, or soreness at the puncture site. In rare cases, fainting or infection may occur. The dexamethasone medication may cause temporary side effects such as mood changes, sleep disturbances, or mild stomach upset.
How long does it take to get results?
Results are typically available within a few days to a week, depending on the laboratory. Your healthcare provider will contact you with the results or discuss them at your follow-up appointment.
Do I need to fast before the test?
Follow your doctor's specific instructions. Some laboratories require fasting (no food or drink except water) for 8-12 hours before the blood draw, while others do not. Always confirm with your healthcare provider beforehand.
What happens if my results are abnormal?
An abnormal result does not necessarily mean you have a serious condition. Your doctor will consider your symptoms, medical history, and other test results to make a proper diagnosis. Additional testing may be needed to confirm the diagnosis and determine the appropriate treatment plan.
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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 15, 2026. · Read our editorial policy