Biomarker Lens

Biomarkers · Chemical

Estradiol

What it measures

Also listed as
estrogen, e2
Tests in the graph that measure it
6

A plain-language description with its source has not been added for this biomarker yet. What the laboratories say about the tests that measure it is below.

Tests that measure Estradiol

Ovarian Assessment Report REI Format

Laboratory
Quest Diagnostics
Test code
14116
Specimen
Serum
Fasting
Not stated as required

What the laboratory says this test is for

The Ovarian Assessment Report can be used as a measure of ovulatory egg supply to aid fertility specialists in determining potential causes for female infertility, and to identify the likely number of eggs that may be retrieved after controlled ovarian hyperstimulation preceding in vitro fertilization (IVF) or elective egg freezing.

Quest Diagnostics test directory, test code 14116

Ovarian Assessment Report OBGYN Format

Laboratory
Quest Diagnostics
Test code
14115
Specimen
Serum
Fasting
Not stated as required

What the laboratory says this test is for

The Ovarian Assessment Report can be used as a measure of ovulatory egg supply to aid clinicians in determining potential causes for female infertility, and to aid physicians who are counseling patients that are planning for future pregnancy.

Quest Diagnostics test directory, test code 14115

Estradiol and Estrone

Laboratory
Quest Diagnostics
Test code
7437
Specimen
Serum
Fasting
Not stated as required

What the laboratory says this test is for

This panel measures the concentrations of estrone and estradiol, the 2 most potent estrogens that are biologically active. This panel may help assess estrogen status in children and nonpregnant adults.Estrogens are endogenous steroids that regulate growth and maintenance of sex organs and secondary sex characteristics in women. Estrogens also have other functions and effects, such as production of liver proteins, arterial vasodilation, reduction of intraocular pressure, influence on mood, and maintenance of bone density in both males and females [1]; lack of estrogens has important consequences in both men and women. Low estrogen levels in normal men receiving a gonadotropin releasing hormone agonist and an aromatase inhibitor is associated with decreased sexual function and increased body fat [2]. Measurements of estrogens may help evaluate sexual maturity, menstrual abnormalities, fertility abnormalities, fetal-placental health in pregnancy, tumors that excrete estrogens, or feminization syndromes in men [3].Increased levels of estrogens may be observed in normal pregnancy, precocious puberty, hyperthyroidism, liver cirrhosis, and ovarian, testicular, and adrenal tumors. Decreased levels of estrogens may be observed in failing pregnancy, Turner syndrome, hypopituitarism, primary and secondary hypogonadism, menopause, polycystic ovarian disease, and anorexia nervosa [4].Estrone levels may exhibit diurnal rhythm in postmenopausal women because of the adrenal origin of the estrone precursor (androstenedione). Estradiol levels do not have the same diurnal variation [3].The results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.References1. Gruber CJ, et al. N Engl J Med. 2002;346(5):340-352.2. Finkelstein JS, et al. N Engl J Med. 2013;369(11):1011-1022.3.Nerenz RD, et al. Reproductive endocrinology and related disorders. In: Rifai N, et al. eds. Tietz Textbook of Laboratory Medicine. 7th ed. Elservier Inc; 2022:9521-9714.4. Pagana K, et al. Mosby's Diagnostic and Laboratory Test Reference. 15th ed. Elsevier Inc; 2020:346-400.

Quest Diagnostics test directory, test code 7437

Estrogens Fractionated LCMS

Laboratory
Quest Diagnostics
Test code
36742
Specimen
Serum
Fasting
Not stated as required

What the laboratory says this test is for

This panel measures the concentrations of estrone, estradiol, and estriol, the 3 main types of estrogens in serum. This panel may be useful in assessing estrogen status.Estrogens are endogenous steroids that regulate growth and maintenance of sex organs and secondary sex characteristics in women. Estrogens also have effects on many other organ systems such as maintenance of bone density, production of liver proteins, arterial vasodilation, reduction of intraocular pressure, and influence on mood [1]. Measurements of estrogens may help evaluating sexual maturity, menstrual abnormalities, fertility abnormalities, fetal-placental health in pregnancy, tumors that excrete estrogens, and feminization syndromes in men [2].Increased levels of estrogens may be observed in normal pregnancy, precocious puberty, hyperthyroidism, liver cirrhosis, and ovarian, testicular, and adrenal tumors. Decreased levels of estrogens may be observed in failing pregnancy, Turner syndrome, hypopituitarism, primary and secondary hypogonadism, menopause, Stein-Leventhal syndrome, and anorexia nervosa [3].Estriol becomes the predominant estrogen only in late pregnancy. Measurements of estriol are commonly used to help screen for certain fetal abnormalities such as Down syndrome. In non-pregnant women and men, measurements of estriol have limited clinical use [2].The results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.References1. Gruber CJ, et al. N Engl J Med. 2002;346(5):340-352.2. Haymond S, et al. Reproductive related disorders. In: Burtis CA, et al. eds. Tietz Textbook of Clinical Chemistry and Molecular Diagnostics. 4th ed. Elsevier Inc; 2006:2097-2152.3. Pagana K, et al. Mosby's Diagnostic and Laboratory Test Reference. 15th ed. Elsevier Inc; 2020:346-400.

Quest Diagnostics test directory, test code 36742

CAH Panel 4 17-Hydroxylase Deficiency in Females

Laboratory
Quest Diagnostics
Test code
15274
Specimen
Serum
Fasting
Not stated as required

What the laboratory says this test is for

All steroids requiring the action of 17-Hydroxylase enzyme are low, including 17-OH Progesterone and Cortisol. Levels of estradiol and aldosterone are also low. Additional testing may be required to establish a diagnosis.

Quest Diagnostics test directory, test code 15274

Estradiol

Laboratory
Quest Diagnostics
Test code
4021
Specimen
Serum
Fasting
Not stated as required

What the laboratory says this test is for

Measuring the circulating levels of estradiol is important for assessing the ovarian function and monitoring follicular development for assisted reproduction protocols. Estradiol plays an essential role throughout the human menstrual cycle. Elevated estradiol levels in females may also result from primary or secondary ovarian hyperfunction. Very high estradiol levels are found during the induction of ovulation for assisted reproduction therapy or in pregnancy. Decreased estradiol levels in females may result from either lack of ovarian synthesis (primary ovarian hypofunction and menopause) or a lesion in the hypothalamus-pituitary axis (secondary ovarian hypofunction). Elevated estradiol levels in males may be due to increased aromatization of androgens, resulting in gynecomastia.

Quest Diagnostics test directory, test code 4021

About this page

Everything above is drawn from the named sources and shown as they published it. Reference ranges belong to the laboratory that issued them and the population it named; they are not a universal normal. This page describes the biomarker in general and does not interpret anyone's result. For your own numbers, talk to a clinician, or use Aumnivida, which reads the same graph next to your records.

Found an error? Write to hello@biomarkerlens.com with the page link and the source that contradicts it.