All Hormone and Adrenal Tests

Hormones are crucial to how your body functions and are responsible for your body's main processes like metabolism and reproduction. The slightest change in the number of hormones your body produces can significantly affect your entire body. A hormone imbalance can be too much or not enough of a specific hormone.

Ulta Lab Tests offers hormone testing that allows you to understand your hormone levels and make informed decisions about your health. Order your hormone lab tests today, and your results will be provided to you securely online in 24 to 48 hours in most cases.

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17-Hydroxypregnenolone, LC/MS/MS

Clinical Significance

17-Hydroxypregnenolone is useful in the diagnosis of 3-Beta-Hydroxylase enzyme deficiency, a rare cause of congenital adrenal hyperplasia, and 17-Hydroxylase (P450c17) enzyme deficiency.


17-hydroxyprogesterone is elevated in patients with congenital adrenal hyperplasia (CAH). CAH is a group of autosomal recessive diseases characterized by a deficiency of cortisol and an excess of ACTH concentration. 17-hydroxyprogesterone is also useful in monitoring cortisol replacement therapy and in evaluating infertility and adrenal and ovarian neoplasms.

17-ketosteroids can be used as indicators of adrenal and testicular and to a lesser extent the ovarian function.

Clinical Significance

21- Hydroxylase Antibody - 21-Hydroxylase Antibody is present in patients with autoimmune destruction of the adrenal glands, leading to Addison's disease. Antibody is also seen in autoimmune polyglandular syndrome.

Determination of ACTH is useful in differentiating between primary and secondary adrenocortical hypo- and hyperfunctional disorders: Addison's disease, Cushing's syndrome, adrenal carcinoma, ectopic ACTH syndrome, and adrenal nodular hyperplasia.

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The adiponectin ELISA assay quantitatively measures human adiponectin in serum. It has been shown that decreased expression of adiponectin correlates with insulin resistance. Adiponectin appears to be a potent insulin enhancer linking adipose tissue and whole body glucose metabolism.

The Adrenal Complete Panel includes the following tests 

  • Aldosterone/Plasma Renin Activity Ratio, LC/MS/MS
  • Comprehensive Metabolic Panel (CMP)
  • DHEA Sulfate, Immunoassay 
  • Iron, Total
  • Lipid Panel with Ratios
  • Magnesium
  • Sex Hormone Binding Globulin (SHBG)

Adrenal Function Panel

Determination of aldosterone is useful in the diagnosis and evaluation of primary aldosteronism, selective hypoaldosteronism, edematous states, and other conditions of electrolyte imbalance

Approximately 1-2% of individuals with primary hypertension have primary hyperaldosteronism characterized by hypokalemia (low potassium) and low direct renin. Because serum aldosterone concentrations vary due to dietary sodium intake and body position, some physicians prefer measurement of 24-hour urine concentration for aldosterone.

The Aldosterone-renin ratio is used to screen for primary aldosteronism

Patient Preparation 

Fasting specimen is preferred. Patient should be free from medications for 2 days.  IMPORTANT DO NOT DISCONTINUE MEDICATIONS WITHOUT THE SUPERVISION AND APPROVAL OF YOUR PHYSICIAN.


Clinical Significance

Alpha MSH is a 13 amino acid peptide (1665 kD) with serine at the N terminal end and amidated valine at the C terminal end. Alpha MSH is derived from pro-opiomelanocorticotropin, a precursor protein which contains within its structure, the sequence of ACTH, beta MSH and gamma MSH. The amino acid sequence of alpha MSH is identical to ACTH 1-13 in humans. Alpha MSH stimulates melanosome dispersion within dermal melanocytes and melanin biosynthesis within epidermal melanocytes. It also stimulates aldosterone synthesis. Plasma alpha MSH increases in humans with high fever due to endotoxin. Average plasma alpha MSH has been found higher in AIDS patients and also in obese men with insulin resistance.




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The major sources of amylase are the pancreas and the salivary glands. The most common cause of elevation of serum amylase is inflammation of the pancreas (pancreatitis). In acute pancreatitis, serum amylase begins to rise within 6-24 hours, remains elevated for a few days and returns to normal in 3-7 days. Other causes of elevated serum amylase are inflammation of salivary glands (mumps), biliary tract disease and bowel obstruction. Elevated serum amylase can also be seen with drugs (e.g., morphine) which constrict the pancreatic duct sphincter preventing excretion of amylase into the intestine.

In pancreatitis, urine levels of amylase reflect serum changes by a time lag of 6-10 hours.

Androstenedione is useful when evaluating patients with androgen excess and managing patients with Congenital Adrenal Hyperplasia (CAH).

Anion Gap Panel (Electrolyte Balance) includes the following test.

  • Anion gap 4
  • Sodium
  • Potassium
  • Chloride
  • Carbon dioxide

AMH-MIS may be used in the investigation of ovarian reserve since AMH concentrations in adult women reflect the number of small antral and preantral follicles entering the growth phase of their life cycle. These follicles are proportional to the number of primordial follicles that still remain in the ovary, or the ovarian reserve.
AMH decreases throughout a woman's reproductive life, which reflects the continuous decline of the oocyte/follicle pool with age and, accordingly, ovarian aging.

AMH/MIS may be used in the detection of the onset of puberty in males, in the differential diagnosis of intersex disorders, cryptorchidism, or anorchidism and in the evaluation of male gonadal function in all ages.

Antiadrenal Antibody Screen With Reflex To Titer

This is a reflex test that may require additional tests to be run at additional cost to the patient.

If  Adrenal Antibody Screen is positive, Adrenal Antibody Titer will be performed at an additional charge (CPT code(s): 86256).

Apolipoprotein A1 (APO A1) has been reported to be a better predictor than HDL cholesterol and triglycerides for Coronary Artery Disease (CAD). Low levels of APO A1 in serum are associated with increased risk of CAD. The measurement of APO A1 may be of value in identifying patients with atherosclerosis. Apolipoprotein B (APO B) has been reported to be a more powerful indicator of CAD than total cholesterol or LDL cholesterol in angiographic CAD and in survivors of myocardial infarction. In some patients with CAD, APO B is elevated even in the presence of normal LDL cholesterol.

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Studies show that millions of people suffering from hormonal imbalance are unaware of the condition because they do not recognize the symptoms. Hormonal imbalance is a condition that affects more than 80% of women in the United States. The imbalance in men often manifests in a decrease in testosterone levels. 

Thankfully, health researchers and practitioners conduct lab tests to help develop hormonal treatment, therapy, and management. Below is a guide to help you learn more about this condition and hormone lab tests. 

What Is a Hormonal Imbalance? 

To understand what hormone imbalance is, you should start with understanding what hormones are. The body creates hormones, tiny chemical messengers tasked with telling different organs and tissues what to do. The body produces hormones in the endocrine glands. 

Hormones are vital to how the body systems function, such as metabolism and reproduction. that is why even the slightest change in the hormonal levels in the body can result in issues that significantly impact the entire body. 

When a person is diagnosed with a hormonal imbalance, their body might have too little or too much of a particular hormone. 

What Medical Conditions Affect Hormones? 

Many different conditions can affect hormone balance, including:

  • Thyroid complications
  •  Diabetes
  • Pituitary tumors
  • Autoimmune diseases like Hashimoto's thyroiditis and Grave's disease
  • Ovarian cysts
  • PCOS

Furthermore, increased production of the growth hormone in the pituitary gland causes gigantism (acromegaly) in children. 

Risk Factors for a Hormonal Imbalance 

Studies show that lifestyle factors and increased toxin intakes are the leading causes of increased hormonal imbalance complications. Some of the other prevalent factors for this condition include: 

  • Unhealthy eating and poor diets 
  • Excess stress and depression 
  • Old age 
  • Lack of enough exercise 
  • Obesity or being overweight 
  • Consumption of toxins found in artificial food products 

Causes of a Hormonal Imbalance 

Hormone imbalance can be triggered by various things depending on the type of hormones and glands affected. Research associated such outcomes to issues like: 

  • Stress 
  • Certain medications 
  • Trauma or injury 
  • Pituitary gland tumors 
  • Eating disorders 
  • Cancerous or benign tumors 
  • Hormone replacement therapy 
  • Cancer treatments like chemotherapy 

Congenital disorders can trigger a decrease in certain hormones. Some of these disorders include complications such as: 

  • Diabetes 
  • Addison's disease 
  • Thyroiditis 
  • Hypothyroidism 
  • Thyroid nodules 
  • Hyperthyroidism 

Polycystic Ovarian Syndrome (PCOS) is the most common hormone imbalance condition in females of reproductive age. Pregnancy, breastfeeding, and menopause have also been found to trigger the imbalance in some women. 

Signs And Symptoms of a Hormonal Imbalance 

The body needs hormones to function correctly, meaning hormones are an essential part of your health. Subsequently, you can experience various symptoms depending on the increase or decrease in the production of certain hormones. Nevertheless, men and women will share signs of hormonal imbalance, which include: 

  • Infertility 
  • Irregular heart rate 
  • Unexpected weight loss or gain 
  • Joint pain, swelling or and stiffness 
  • Muscle aches, tenderness, and stiffness 
  • Frequent urination 
  • Increased thirst 
  • Sweating and increased sensitivity to heat and col 
  • Muscle weakness and fatigue 
  • Depression, anxiety, or irritability 
  • Diarrhea 
  • Constipation 

Symptoms Of Hormonal Imbalance for Females 

The signs and symptoms of hormonal imbalance in women include: 

  • Acne on the face, chest, or back 
  • Headaches 
  • Hair loss 
  • Excessive hair on the chin, face, or other body parts 
  • Night sweat 
  • Vaginal dryness 
  • Heavy, irregular periods, or missed period 
  • Painful sex 

Symptoms Of Hormonal Imbalance for Males 

Some of the common signs and symptoms of hormonal imbalance in men include: 

  • Loss of muscle mass 
  • Erectile dysfunction 
  • Difficulty with concentration 
  • Decrease in body hair 
  • Development of breast tissue 
  • Breast tenderness 
  • Loss of bone 

Children with hormonal imbalance usually experience delays in puberty. Boys have a lack of development in muscle mass or a voice that doesn't deepen. Girls will have a lack of menstrual periods and breast development. 

Diagnosis of a Hormonal Imbalance 

It is best for persons who believe they have a hormonal imbalance or notice the signs and symptoms to check with their doctor. The doctor will inquire about their medical history, ask about the symptoms they are experiencing, and do a physical exam. 

Blood tests are often done to diagnose a hormonal condition in people. The doctor can recommend further testing depending on the symptoms the person is experiencing. 

Lab Tests for Hormonal Imbalances 

A hormonal lab test often starts with a baseline blood test panel for both men and women. It will include a cortisol test that measures the cortisol (a steroid hormone produced by the adrenal gland) concentration in the blood. A DHEA exam can also be done to measure the DHEA-sulfate count in the blood. 

Checking estradiol levels is also essential. It is a test that measures the sex hormones counts in women while also assessing ovarian function. 

Men's and women's hormone test panels can include checking the luteinizing hormone or LH and FSH level or follicle-stimulating hormone. They are hormones that play a crucial role in maintaining normal reproductive system functions in men and women. For instance, assessing the testosterone levels can help determine elevated levels in females and low testosterone levels in males. 

Experts also recommend checking the thyroid-stimulating hormone to determine if the thyroid is underactive or overactive. When testing patients ' blood sugar levels, checking blood glucose and insulin levels is done, especially when ascertaining their risk of developing diabetes. 

FAQS About Hormonal Imbalances 

Q: Which specialist is the best to consult about a hormonal imbalance?  

A: It is wise to start with your family doctor. The doctor can run tests and refer you to an endocrinologist if they find or suspect you have hormone complications. 

Q: Can hormones affect our mental health? 

A: Fluctuating progesterone and estrogen hormone levels in women can lead to issues like depression and erratic moods. 

Q: What is bioidentical hormone replacement therapy? 

A: A natural hormone therapy technique uses compounds with the same structures as those the body produces to help address a hormonal imbalance problem. 

Hormone Lab Tests with Ulta Lab Tests 

Ulta Lab Tests offers tests that are highly accurate and reliable. They are an ideal option if you want precise readings to help make informed decisions about your health. With Ulta Lab Tests, you will get the following benefits: 

  • Secure and confidential results 
  • No need for health insurance 
  • Affordable pricing 
  • No need for a doctor's referral 
  • A 100% satisfaction guarantee 

Order your hormone lab tests today and get results securely online within 24 to 48 hours for most tests. 

Shop with Ulta Lab Tests and start taking charge of your health today.