Hirsutism Evaluation Panel




Test Mnemonic

HIRSUT

CPT Codes

  • 82157 - QTY (1)
  • 84403 - QTY (1)
  • 82627 - QTY (1)
  • 84270 - QTY (1)

Includes

  • Testosterone
  • Testosterone, Free
  • Sex Hormone Binding Globulin
  • Androstenedione
  • Dehydroepiandrosterone Sulfate

Performing Laboratory

ARUP


Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
2.5 mLSerumSST (Gold) FrozenSeparate serum from cells ASAP or within 2 hours of collection.

Minimum Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
1.5 mL     

Stability

Environmental Condition Description
FrozenAfter separation from cells: 2 months
AmbientAfter separation from cells: 2 hours
RefrigeratedAfter separation from cells: 48 hours

Days Performed

Sun - Sat

Turnaround Time

2 - 6 days

Methodology

Name Description
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) 
Electro Chemiluminescence Immunoassay (ECLIA) 
Quantitative Chemiluminescent Immunoassay 

Reference Range

Androstenedione
Sex Age From Age To Type Range Range Unit
       Female, Premature Infants, 26-28 weeks-Day 4: 0.92 - 2.82 ng/mL 
       Female, Premature Infants, 31-35 weeks-Day 4: 0.80 - 4.46 ng/mL 
       Female, Pre-menopaual: 0.26 - 2.14 ng/mL 
       Female, Post-menopaual: 0.13 - 0.82 ng/mL 
       Female, Tanner Stage I: 0.05 - 0.51 ng/mL 
       Female, Tanner Stage II: 0.15 - 1.37 ng/mL 
       Female, Tanner Stage III: 0.37 - 2.24 ng/mL 
       Female, Tanner Stage IV- V: 0.35 - 2.05 ng/mL 
       Male, Premature Infants, 26-28 weeks-Day 4: 0.92 - 2.82 ng/mL 
       Male, Premature Infants, 31-35 weeks-Day 4: 0.80 - 4.46 ng/mL 
       Male, Tanner Stage I: 0.04 - 0.32 ng/mL 
       Male, Tanner Stage II: 0.08 - 0.48 ng/mL 
       Male, Tanner Stage III: 0.14 - 0.87 ng/mL 
       Male, Tanner Stage IV-V: 0.27 - 1.07 ng/mL 
Female14 Years15 YearsNormal0.39 - 2.00ng/mL
Female16 Years17 YearsNormal0.35 - 2.12ng/mL
Female18 Years39 YearsNormal0.26 - 2.14ng/mL
Female40 Years99 YearsNormal0.13 - 0.82ng/mL
Female1 Days7 DaysNormal0.20 - 2.90ng/mL
Female8 Days30 DaysNormal0.18 - 0.80ng/mL
Female1 Months5 MonthsNormal0.06 - 0.68ng/mL
Female6 Months24 MonthsNormal< 0.15ng/mL
Female2 Years3 YearsNormal< 0.16ng/mL
Female4 Years5 YearsNormal0.02 - 0.21ng/mL
Female6 Years7 YearsNormal0.02 - 0.28ng/mL
Female8 Years9 YearsNormal0.04 - 0.42ng/mL
Female10 Years11 YearsNormal0.09 - 1.23ng/mL
Female12 Years13 YearsNormal0.24 - 1.73ng/mL
Male1 Days7 DaysNormal0.20 - 2.90ng/mL
Male8 Days30 DaysNormal0.18 - 0.80ng/mL
Male1 Months5 MonthsNormal0.06 - 0.68ng/mL
Male6 Months24 MonthsNormal0.03 - 0.15ng/mL
Male2 Years3 YearsNormal< 0.11 ng/mL
Male4 Years5 YearsNormal0.02 - 0.17ng/mL
Male6 Years7 YearsNormal0.01 - 0.29ng/mL
Male8 Years9 YearsNormal0.03 - 0.30ng/mL
Male10 Years11 YearsNormal0.07 - 0.39ng/mL
Male12 Years13 YearsNormal0.10 - 0.64ng/mL
Male14 Years15 YearsNormal0.18 - 0.94ng/mL
Male16 Years17 YearsNormal0.30 - 1.13ng/mL
Male18 Years39 YearsNormal0.33 - 1.34ng/mL
Male40 Years99 YearsNormal0.23 - 0.89ng/mL
Dehydroepiandrosterone Sulfate
Sex Age From Age To Type Range Range Unit
Female  Days6 DaysNormal108 - 607ug/dL
Female1 Months5 MonthsNormal3 - 124ug/dL
Female6 Months35 MonthsNormal0 - 29ug/dL
Female3 Years6 YearsNormal0 - 47ug/dL
Female7 Years9 YearsNormal5 - 94ug/dL
Female10 Years14 YearsNormal22 - 255ug/dL
Female15 Years19 YearsNormal63 - 373ug/dL
Female20 Years24 YearsNormal148 - 407ug/dL
Female25 Years34 YearsNormal99 - 340ug/dL
Female35 Years44 YearsNormal61 - 337ug/dL
Female7 Days30 DaysNormal32 - 431ug/dL
Female45 Years54 YearsNormal35 - 256ug/dL
Female55 Years64 YearsNormal19 - 205ug/dL
Female65 Years74 YearsNormal9 - 246ug/dL
Female75 Years99 YearsNormal12 - 154ug/dL
       Female, Tanner Stage II: 13 - 241 ug/dL 
       Female, Tanner Stage III: 32 - 446 ug/dL 
       Male, Tanner Stage III: 39 - 390 ug/dL 
       Female, Tanner Stage IV & V: 65 - 371 ug/dL 
       Female, Tanner Stage I: 7 - 126 ug/dL 
       Male, Tanner Stage I: 7 - 209 ug/dL 
       Male, Tanner Stage II: 28 - 260 ug/dL 
       Male, Tanner Stage IV & V: 81 - 488 ug/dL 
Male  Days6 DaysNormal108 - 607ug/dL
Male7 Days30 DaysNormal32 - 431ug/dL
Male1 Months5 MonthsNormal3 - 124ug/dL
Male6 Months35 MonthsNormal0 - 33ug/dL
Male3 Years6 YearsNormal0 - 44ug/dL
Male7 Years9 YearsNormal5 - 115ug/dL
Male10 Years14 YearsNormal22 - 332ug/dL
Male15 Years19 YearsNormal88 - 483ug/dL
Male20 Years24 YearsNormal211 - 492ug/dL
Male25 Years34 YearsNormal160 - 449ug/dL
Male35 Years44 YearsNormal89 - 427ug/dL
Male45 Years54 YearsNormal44 - 331ug/dL
Male55 Years64 YearsNormal52 - 295ug/dL
Male65 Years74 YearsNormal34 - 249ug/dL
Male75 Years99 YearsNormal16 - 123ug/dL
Sex Hormone Binding Globulin
Sex Age From Age To Type Range Range Unit
Female      NormalTanner Stage I: 30 - 173nmol/L
Female      NormalTanner Stage II: 16 - 127nmol/L
Female      NormalTanner Stage III: 12 - 98nmol/L
Female      NormalTanner Stage IV: 14 - 151nmol/L
Female      NormalTanner Stage V: 23 - 165nmol/L
Female1 Days30 DaysNormal14 - 60nmol/L
Female31 Days364 DaysNormal60 - 215nmol/L
Female1 Years3 YearsNormal60 - 190nmol/L
Female4 Years6 YearsNormal55 - 170nmol/L
Female7 Years9 YearsNormal35 - 170nmol/L
Female10 Years12 YearsNormal17 - 155nmol/L
Female13 Years15 YearsNormal11 - 120nmol/L
Female16 Years17 YearsNormal19 - 145nmol/L
Female18 Years49 YearsNormal25 - 122nmol/L
Female50 Years99 YearsNormal17 - 125nmol/L
Male      NormalTanner Stage I: 26 - 186nmol/L
Male      NormalTanner Stage II: 22 - 169nmol/L
Male      NormalTanner Stage III: 13 - 104nmol/L
Male      NormalTanner Stage IV: 11 - 60nmol/L
Male      NormalTanner Stage V: 11 - 71nmol/L
Male1 Days30 DaysNormal13 - 85nmol/L
Male31 Days364 DaysNormal70 - 250nmol/L
Male1 Years3 YearsNormal50 - 180nmol/L
Male4 Years6 YearsNormal45 - 175nmol/L
Male7 Years9 YearsNormal28 - 190nmol/L
Male10 Years12 YearsNormal23 - 160nmol/L
Male13 Years15 YearsNormal13 - 140nmol/L
Male16 Years17 YearsNormal10 - 60nmol/L
Male18 Years49 YearsNormal17 - 56nmol/L
Male50 Years99 YearsNormal19 - 76nmol/L
Testosterone
Sex Age From Age To Type Range Range Unit
Female      NormalNewborn: 20 - 64ng/dL
Female6 Months24 MonthsNormalLess than 9ng/dL
Female2 Years3 YearsNormalLess than 20ng/dL
Female4 Years5 YearsNormalLess than 30ng/dL
Female6 Years7 YearsNormalLess than 7ng/dL
Female      NormalPostmenopausal: 5 - 32ng/dL
Female      NormalPremature (26 - 28 weeks): 5 - 16ng/dL
Female      NormalPremature (31 - 35 weeks): 5 - 22ng/dL
Female      NormalPremenopausal (Greater than 18 years): 9 - 55ng/dL
Female      NormalTanner Stage I: 2 -17ng/dL
Female      NormalTanner Stage II: 5 - 40ng/dL
Female      NormalTanner Stage III: 10 - 63ng/dL
Female      NormalTanner Stage IV - V: 11 - 62ng/dL
Female1 Months5 MonthsNormalLess than 20ng/dL
Female8 Years9 YearsNormal1 - 11ng/dL
Female10 Years11 YearsNormal3 - 32ng/dL
Female12 Years13 YearsNormal6 - 50ng/dL
Female14 Years15 YearsNormal6 - 52ng/dL
Female16 Years17 YearsNormal9 - 58ng/dL
Female18 Years39 YearsNormal9 - 55ng/dL
Female40 Years59 YearsNormal9 - 55ng/dL
Female60 Years99 YearsNormal5 - 32ng/dL
       Normal 
       Normal>/=1.00 
       Normal2.22 
       Normal<>6.00 
       Normal=/<33 
       Normal=/>66 
        
       >/=10.00 
       =/<7.50 
       Urgent 
       Urgent<>3.00 
       Urgent>6 or <7 
       Critical>/<4.00 
       Critical<>3.00 
       Critical>/5.00 
Male      NormalNewborn: 75 - 400ng/dL
Male      NormalPremature (26 - 28 weeks): 59 - 125ng/dL
Male      NormalPremature (31- 35 weeks): 37 - 198ng/dL
Male      NormalTanner Stage I: 2 -15ng/dL
Male      NormalTanner Stage II: 3 - 303ng/dL
Male      NormalTanner Stage III: 10 - 851ng/dL
Male      NormalTanner Stage IV - V: 162 - 847ng/dL
Male1 Months5 MonthsNormal14 - 363ng/dL
Male6 Months24 MonthsNormalLess than 37ng/dL
Male2 Years3 YearsNormalLess than 15ng/dL
Male4 Years5 YearsNormalLess than 19ng/dL
Male6 Years7 YearsNormalLess than 13ng/dL
Male8 Years9 YearsNormal2 - 8ng/dL
Male10 Years11 YearsNormal2 - 165ng/dL
Male12 Years13 YearsNormal3 - 619ng/dL
Male14 Years15 YearsNormal31 - 733ng/dL
Male16 Years17 YearsNormal158 - 826ng/dL
Male18 Years39 YearsNormal300 - 1080ng/dL
Male40 Years59 YearsNormal300 - 890ng/dL
Male60 Years99 YearsNormal300 - 720ng/dL
Testosterone, Free
Sex Age From Age To Type Range Range Unit
Female      NormalPostmenopausal: 0.6 - 3.8pg/mL
Female      NormalTanner Stage I: Less than 2.2pg/mL
Female      NormalTanner Stage II: 0.4 - 4.5pg/mL
Female      NormalTanner Stage III: 1.3 - 7.5pg/mL
Female      NormalTanner Stage IV: 1.1 - 15.5pg/mL
Female      NormalTanner Stage V: 0.8 - 9.2pg/mL
Female1 Years6 YearsNormalLess than 0.6pg/mL
Female7 Years9 YearsNormal0.6 - 1.8pg/mL
Female10 Years11 YearsNormal0.1 - 3.5pg/mL
Female12 Years13 YearsNormal0.9 - 6.8pg/mL
Female14 Years15 YearsNormal1.2 - 7.5pg/mL
Female16 Years17 YearsNormal1.2 - 9.9pg/mL
Female18 Years30 YearsNormal0.8 - 7.4pg/mL
Female31 Years40 YearsNormal1.3 - 9.2pg/mL
Female41 Years51 YearsNormal1.1 - 5.8pg/mL
Male      NormalTanner Stage I: Less than or equal to 3.7pg/mL
Male      NormalTanner Stage II: 0.3 - 21.0pg/mL
Male      NormalTanner Stage III: 1.0 - 98.0pg/mL
Male      NormalTanner Stage IV: 35.0 - 169.0pg/mL
Male      NormalTanner Stage V: 41.0 - 239.0pg/mL
Male1 Years6 YearsNormalLess than 0.6pg/mL
Male7 Years9 YearsNormal0.1 - 0.9pg/mL
Male10 Years11 YearsNormal0.1 - 6.3pg/mL
Male12 Years13 YearsNormal0.5 - 98.0pg/mL
Male14 Years15 YearsNormal3.0 - 138.0pg/mL
Male16 Years17 YearsNormal38.0 - 173.0pg/mL
Male18 Years99 YearsNormal47.0 - 244.0pg/mL

Special Info

Separate serum from cells ASAP or within 2 hours of collection. This test is New York DOH approved.

Clinical Info

Aids in the detection and subclassification of hyperandrogenism. Most useful in women and children with moderate/severe hirsutism of any degree when it is sudden in onset or rapidly progressive.