icd 9 code for dhea sulfate

by Dr. Benny Harvey 8 min read

What does it mean if my DHEA sulfate is high?

If your results show high levels of DHEA sulfate (DHEAS), it may mean you have one of the following conditions: A tumor of the adrenal gland. It may be benign (noncancerous) or cancerous. Polycystic ovary syndrome (PCOS). PCOS is a common hormone disorder affecting childbearing women. It is one of the leading causes of female infertility.

What does it mean if your DHEAS levels are not normal?

If your DHEAS levels are not normal, it may mean there is a problem with your adrenal glands or sex organs (testicles or ovaries.) What is it used for?

What is the role of DHEA-S in the diagnosis of hirsutism?

Together with testosterone, DHEA-S assays represent the assay of choice for initial screening tests to determine whether androgen values are elevated in hirsutism.

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What is the CPT code for DHEA sulfate?

LOINC MapOrder CodeOrder Code NameOrder Loinc004020DHEA-Sulfate2191-5

What is a DHEA sulfate blood test?

This test measures the levels of DHEA sulfate (DHEAS) in your blood. DHEAS stands for dehydroepiandrosterone sulfate. DHEAS is a male sex hormone that is found in both men and women. DHEAS plays an important role in making the male sex hormone testosterone and the female sex hormone estrogen.

What is DHEA sulfate in females?

They are one of the major sources of androgens in women. Although DHEA-sulfate is the most abundant hormone in the body, its exact function is still not known. In men, the male hormone effect may not be important if testosterone level is normal. In women, DHEA contributes to normal libido and sexual satisfaction.

What is DHEA sulfate immunoassay?

DHEA Sulfate, Immunoassay - DHEA-S is the sulfated form of DHEA and is the major androgen produced by the adrenal glands. This test is used in the differential diagnosis of hirsute or virilized female patients and for the diagnosis of isolated premature adrenarche and adrenal tumors.

What does a high DHEA sulfate mean?

If your level of DHEA-S is high, it means that your body is making too much of the hormones. This excess may be related to adrenal cancer, tumors, or excess growth of adrenal hormone-producing tissue (hyperplasia). If your DHEA level is low, it may mean that your adrenal glands are not making enough hormones.

What's the difference between DHEA and DHEAS?

What Is the Difference Between DHEA and DHEA,s? The main differentiator between DHEA and DHEA sulfate is that DHEA has an extra sulfate molecule attached to it. DHEA,s is a steroid androgen that is found in both women and men. DHEA is made in the ovaries, testes and the adrenal glands.

What does DHEA stand for?

Overview. Dehydroepiandrosterone (DHEA) is a hormone that your body naturally produces in the adrenal gland. DHEA helps produce other hormones, including testosterone and estrogen.

What does it mean to have low DHEA sulfate?

A low level of DHEA-S might mean: A damaged adrenal gland. Addison's disease, a rare condition that causes weak muscles, lack of energy, weight loss, and low blood pressure. Hypopituitarism, a rare hormonal disease that can lead to tiredness, low sex drive, infertility, weight loss, and short height in children.

What DHEA levels indicate PCOS?

DHEA-S is an androgen that is secreted by the adrenal gland. It is normal for women to have DHEA-S levels anywhere between 35-430 ug/dl. Most women with PCOS tend to have DHEA-S levels greater than 200 ug/dl.

What is a normal DHEA sulfate level?

In your 20s, DHEAS levels range between 65 and 380 mcg. For 30-something women, normal levels range from 45 to 270 mcg/dL, with levels further dropping to 32 to 240 mcg/dL in your 40s. Levels vary from 26 to 200 mcg/dL in your 50s, from 13 to 130 mcg/dL in your 60s and from 17 to 90 mcg/dL after age 69.

What is a normal DHEA sulfate level?

In your 20s, DHEAS levels range between 65 and 380 mcg. For 30-something women, normal levels range from 45 to 270 mcg/dL, with levels further dropping to 32 to 240 mcg/dL in your 40s. Levels vary from 26 to 200 mcg/dL in your 50s, from 13 to 130 mcg/dL in your 60s and from 17 to 90 mcg/dL after age 69.

What does it mean to have low DHEA sulfate?

A low level of DHEA-S might mean: A damaged adrenal gland. Addison's disease, a rare condition that causes weak muscles, lack of energy, weight loss, and low blood pressure. Hypopituitarism, a rare hormonal disease that can lead to tiredness, low sex drive, infertility, weight loss, and short height in children.

What happens if your DHEA levels are too high?

Your body needs DHEAS to produce androgens and estrogen. Women who make too much DHEAS may develop PCOS or characteristics like facial hair. Boys with high DHEAS levels may start puberty too soon. DHEAS levels can also affect your sex drive and reproductive health.

What happens if your DHEA is low?

Low or High DHEA: Possible Symptoms Depression. Sexual dysfunction (including erectile dysfunction in men and low libido in women) Heart disease. Obesity.

What is DHEA-S test?

Together with testosterone, DHEA-S assays represent the assay of choice for initial screening tests to determine whether androgen values are elevated in hirsutism. Approximately 84% of the women suffering from hirsutism exhibit elevated androgen levels. 11 The main purpose of this is to exclude the presence of androgen-producing tumors (from the adrenal cortex or the ovaries). 7

What causes DHEA-S levels to increase?

6 Only elevated DHEA-S concentrations are of clinical importance; other factors which can be responsible for DHEA-S excess production are genetic enzyme defects of the adrenal cortex (adrenogenital syndrome), 7 hyperplasia of the adrenal cortex, as well as androgen-producing tumors. 2

Where is DHEA-S produced?

DHEA-S is a steroid hormone which is produced from the precursor cholesterol in the zona reticularis and broad fascia of the adrenal cortex. 1 The determination of elevated DHEA-S values is an important aid in the diagnosis of hirsutism and virilism. 2,4 In addition to a differential diagnosis of hirsutism and virilism, further indications for this parameter are all forms of androgenization, hyperprolactinemia, polycystic ovarian syndrome, and the exclusion of an androgen-producing tumor of the adrenal cortex. 2 DHEA-S exhibits only a weak androgenic activity but can be metabolized to more active androgens, such as androstenedione and testosterone, which can indirectly cause hirsutism and virilism. 2,5

How do I prepare for the DHEA sulfate test?

No special preparations are needed for this test as this test is conducted the same way as any other blood test. In teenage girls, doctors may request that the test be performed either before or after a menstrual period, as menstruation may affect DHEA hormone levels. You also need to inform your doctor what medications or supplements you are on, as some of them could affect the DHEA level in the body

What is the DHEA hormone?

DHEA stands for dehydroepiandrosterone, and is a hormone secreted by the adrenal glands and some of it is also produced by the ovaries and testes. DHEA is converted into DHEA-S in your adrenal glands (found above the kidneys) and also the liver. DHEA is responsible for the regulation of sex hormones in both men and women ...

What is the DHEAS test?

A DHEAS test is performed to measure the level of this hormone in the body. The levels of this hormone are high in newborn babies, then quickly drop. They rise again during puberty, where these play a significant role in triggering the development of pubic and underarm hair. An abnormality in the level of DHEAS could be indicative of certain dysfunction in the development of sexual characteristics and could also mean the onset of chronic health conditions such as diabetes.

What are the reference levels for DHEAS in the human body?

The normal range of DHEAS differs according to age and gender. The following table provides a rough estimation of what is considered normal DHEAS level.

When can I expect the results of the DHEAS test?

The test results are typically available within a 2-3 days of the test.

What is the most suitable time for undergoing a DHEAS test?

So most blood tests that check for hormonal levels are often done at a particular time. But, DHEAS levels remain stable so the test can be conducted at any time of the day. However, in some cases owing to the menstrual cycle, the test might be conducted either before or after the periods.

Why is my DHEAS level low?

If you have lower than normal DHEAS levels as per your age and gender, it could point to: – Adrenal insufficiency as seen in Addison’s disease. – Pituitary hormone deficiency or hypopituitarism. – If you are on glucocorticoid medications, the low levels of DHEAS could be possible because of the drug interaction.

What is DHEA sulfate?

DHEA Sulfate, Immunoassay -. DHEA-S is the sulfated form of DHEA and is the major androgen produced by the adrenal glands. This test is used in the differential diagnosis of hirsute or virilized female patients and for the diagnosis of isolated premature adrenarche and adrenal tumors.

What percentage of women with polycystic ovarian syndrome have elevated DHEA-S?

About 10% of hirsute women with Polycystic Ovarian Syndrome (PCOS) have elevated DHEA-S but normal levels of other androgens.

What is a DHEA sulfate test?

This test measures the levels of DHEA sulfate (DHEAS) in your blood. DHEAS stands for dehydroepiandrosterone sulfate. DHEAS is a male sex hormone that is found in both men and women. DHEAS plays an important role in making the male sex hormone testosterone and the female sex hormone estrogen. It’s also involved in the development of male sexual characteristics at puberty.

What happens during a DHEA sulfate test?

A health care professional will take a blood sample from a vein in your arm, using a small needle. After the needle is inserted, a small amount of blood will be collected into a test tube or vial. You may feel a little sting when the needle goes in or out. This usually takes less than five minutes.

What does it mean when your DHEA is high?

If your results show high levels of DHEA sulfate (DHEAS), it may mean you have one of the following conditions: Congenital adrenal hyperplasia, an inherited disorder of the adrenal glands. A tumor of the adrenal gland. It may be benign (noncancerous) or cancerous. Polycystic ovary syndrome (PCOS).

Why do babies need a DHEAS test?

Baby girls may also need testing if they have genitals that are not clearly male or female in appearance (ambiguous genitalia). Boys may need this test if they have signs of early puberty. Symptoms of low levels of DHEAS may include the following signs of an adrenal gland disorder: Unexplained weight loss.

What is a DHEA test?

A DHEA sulfate (DHEAS) test is most often used to: Find out the cause of excess body hair growth and development of masculine features in women and girls. A DHEAS test is often done along with other sex hormone tests. These include testosterone tests for men and estrogen tests for women.

Where is DHEAS made?

DHEAS is mostly made in the adrenal glands, two small glands located above your kidneys. They help control heart rate, blood pressure, and other body functions. Smaller amounts of DHEAS are made in a man’s testicles and in a woman’s ovaries. If your DHEAS levels are not normal, it may mean there is a problem with your adrenal glands or sex organs ...

What is the name of the disorder in which the adrenal glands are not able to make enough of certain hormones?

Addison disease . Addison disease is a disorder in which the adrenal glands are not able to make enough of certain hormones.

Overview

A DHEAS test measures levels of dehydroepiandrosterone sulfate (DHEAS) in your blood. Your adrenal glands make DHEA sulfate, a steroid hormone found in all sexes. DHEAS levels tend to peak around puberty and then naturally decline with age.

Test Details

A DHEAS test requires a blood draw. Some labs don’t offer this specialized test. Your provider will direct you to a lab that does.

Results and Follow-Up

It can take several days for your provider to get the results back from the lab.

Frequently Asked Questions

Probably not. Despite the claims, there’s no evidence that over-the-counter DHEA supplements slow the aging process, help build muscle or improve physical performance. But the supplements can cause serious side effects and interfere with prescribed medications.

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