17-Hydroxyprogesterone, Urine




Test Mnemonic

U17OHP

CPT Codes

  • 83498 - QTY (1)

Aliases

  • 17-Hydroxy Progesterone
  • 17-OH Progesterone

Includes

  • Urine 17-Hydroxyprogesterone

Performing Laboratory

ARUP


Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
10 mLUrine, randomClean container FrozenIf possible, discontinue any corticosteroid, ACTH, estrogen, or gonadotropin medications for at least 48 hours prior to collection. Place specimen on ice. Separate specimens must be submitted when multiple tests are ordered.

Minimum Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
5 mL     

Stability

Environmental Condition Description
Frozen6 months
Refrigerated4 days
Ambient1 hour

Days Performed

Varies

Turnaround Time

8 - 14 days

Methodology

Name Description
Radioimmunoassay (RIA) 

Reference Range

Special Info

If possible, discontinue any corticosteroid, ACTH, estrogen, or gonadotropin medications for at least 48 hours prior to collection. Place specimen on ice. Separate specimens must be submitted when multiple tests are ordered.

Clinical Info

17-Hydroxy Progesterone is a steroid derived primarily from enzymatic metabolism of Progesterone and 17-Hydroxy Pregnenolone. It is converted enzymatically to Androstenedione and 11-Deoxycortisol. It is produced in both the gonads and adrenal glands. It is excreted into the urine in conjugated and unconjugated forms of 17-Hydroxy Progesterone and as Pregnanetriol. This assay measures the total of the conjugated and unconjugated forms. It is stimulated by ACTH and suppressed by Dexamethasone. Levels of urine 17-Hydroxy Progesterone are greatly increased in patients with Polycystic Ovarian Disease and Congenital Adrenal Hyperplasia and show exaggerated responses to ACTH in these cases. 17-Hydroxy Progesterone is the marker steroid for determining cases of 21a-Hydroxylase Deficient Congenital Adrenal Hyperplasia. Urine levels are frequently elevated in patients with idiopathic hirsutism.