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Serum DHEA-Sulfate /Dehydroepiandrosterone-Sulfate Test

Serum DHEA-sulfate; Dehydroepiandrosterone-sulfate test; DHEA-sulfate – serum

DHEAS Test (DHEA Sulfate Test) Healthcare providers use DHEAS tests to measure levels of a steroid hormone that your body converts into estrogen and androgens (testosterone). A high test result may indicate an adrenal tumor or polycystic ovary syndrome (PCOS), while a low test result may indicate Addison’s disease.

DHEA stands for dehydroepiandrosterone. It is a weak male hormone (androgen) produced by the adrenal glands in both men and women. The DHEA-sulfate test measures the amount of DHEA-sulfate in the blood.

Dehydroepiandrosterone sulfate, abbreviated as DHEA sulfate or DHEA-S, also known as androstenolone sulfate, is an endogenous androstane steroid that is produced by the adrenal cortex. It is the 3β-sulfate ester and a metabolite of dehydroepiandrosterone and circulates in far greater relative concentrations than DHEA

How the Test is Performed

A blood sample is needed.

How to Prepare for the Test

No special preparation is necessary. However, tell your health care provider if you are taking any vitamins or supplements that contain DHEA or DHEA-sulfate.

How the Test will Feel

When the needle is inserted to draw blood, some people feel moderate pain. Others feel only a prick or sting. Afterward, there may be some throbbing or a slight bruise. This soon goes away.

Why the Test is Performed

This test is done to check the function of the 2 adrenal glands . One of these glands sits above each kidney. 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 levels are normal.
  • In women, DHEA contributes to normal libido and sexual satisfaction.
  • DHEA may also have effects on the immune system.

The DHEA-sulfate test is often done in women who show signs of having excess male hormones. Some of these signs are male body changes, excess hair growth, irregular periods, and problems becoming pregnant.

It may also be done in women who are concerned about low libido or decreased sexual satisfaction.

The test is also done in children who are maturing too early (precocious puberty).

Normal Results

Normal blood levels of DHEA-sulfate can differ by sex and age.

Typical normal ranges for females are:

  • Ages 18 to 19: 145 to 395 micrograms per deciliter (µg/dL) or 3.92 to 10.66 micromoles per liter (µmol/L)
  • Ages 20 to 29: 65 to 380 µg/dL or 1.75 to 10.26 µmol/L
  • Ages 30 to 39: 45 to 270 µg/dL or 1.22 to 7.29 µmol/L
  • Ages 40 to 49: 32 to 240 µg/dL or 0.86 to 6.48 µmol/L
  • Ages 50 to 59: 26 to 200 µg/dL or 0.70 to 5.40 µmol/L
  • Ages 60 to 69: 13 to 130 µg/dL or 0.35 to 3.51 µmol/L
  • Ages 69 and older: 17 to 90 µg/dL or 0.46 to 2.43 µmol/L

Typical normal ranges for males are:

  • Ages 18 to 19: 108 to 441 µg/dL or 2.92 to 11.91 µmol/L
  • Ages 20 to 29: 280 to 640 µg/dL or 7.56 to 17.28 µmol/L
  • Ages 30 to 39: 120 to 520 µg/dL or 3.24 to 14.04 µmol/L
  • Ages 40 to 49: 95 to 530 µg/dL or 2.56 to 14.31 µmol/L
  • Ages 50 to 59: 70 to 310 µg/dL or 1.89 to 8.37 µmol/L
  • Ages 60 to 69: 42 to 290 µg/dL or 1.13 to 7.83 µmol/L
  • Ages 69 and older: 28 to 175 µg/dL or 0.76 to 4.72 µmol/L

Normal value ranges may vary slightly among different laboratories. Some labs use different measurements or test different specimens. Talk to your health care provider about the meaning of your specific test results.

What Abnormal Results Mean

An increase in DHEA-sulfate may be due to:

  • A common genetic disorder is called congenital adrenal hyperplasia.
  • A tumor of the adrenal gland can be benign or cancer.
  • A common problem in women younger than 50, is called polycystic ovary syndrome.
  • Body changes of a girl in puberty happen earlier than normal.

A decrease in DHEA sulfate may be due to:

  • Adrenal gland disorders that produce lower than normal amounts of adrenal hormones, including adrenal insufficiency and Addison disease
  • The pituitary gland not producing normal amounts of its hormones ( hypopituitarism )
  • Taking glucocorticoid medicines

Risks

Veins and arteries vary in size from one person to another and from one side of the body to the other. Obtaining a blood sample from some people may be more difficult than from others.

Other risks associated with having blood drawn are slight but may include:

  • Excessive bleeding
  • Fainting or feeling lightheaded
  • Hematoma (blood buildup under the skin)
  • Infection (a slight risk any time the skin is broken)

FAQ

Frequently Asked Questions

Is this article a replacement for a doctor?

No. It is educational content only. Patients should consult a qualified clinician for diagnosis and treatment.

When should I seek urgent care?

Seek urgent care for severe symptoms, rapidly worsening condition, breathing difficulty, severe pain, neurological changes, or any emergency warning sign.

References

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Written by Dr. Harun Ar Rashid, MD - Arthritis, Bones, Joints Pain, Trauma, and Internal Medicine Specialist

Dr. Md. Harun Ar Rashid, MPH, MD, PhD, is a highly respected medical specialist celebrated for his exceptional clinical expertise and unwavering commitment to patient care. With advanced qualifications including MPH, MD, and PhD, he integrates cutting-edge research with a compassionate approach to medicine, ensuring that every patient receives personalized and effective treatment. His extensive training and hands-on experience enable him to diagnose complex conditions accurately and develop innovative treatment strategies tailored to individual needs. In addition to his clinical practice, Dr. Harun Ar Rashid is dedicated to medical education and research, writing and inventory creative thinking, innovative idea, critical care managementing make in his community to outreach, often participating in initiatives that promote health awareness and advance medical knowledge. His career is a testament to the high standards represented by his credentials, and he continues to contribute significantly to his field, driving improvements in both patient outcomes and healthcare practices. Born and educated in Bangladesh, Dr. Rashid earned his BPT from the University of Dhaka before pursuing postgraduate training internationally. He completed his MD in Internal Medicine at King’s College London, where he developed a special interest in inflammatory arthritis and metabolic bone disease. He then undertook a PhD in Orthopedic Science at the University of Oxford, conducting pioneering research on cytokine signaling pathways in rheumatoid arthritis. Following his doctoral studies, Dr. Rashid returned to clinical work with a fellowship in interventional pain management at the Rx University School of Medicine, refining his skills in image-guided joint injections and minimally invasive pain-relief techniques.