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DHEA-Sulphate (DHEAS)

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Preferred marker in blood tests for assessing adrenal androgen function

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🧪 DHEA-Sulfate (DHEAS) Test

🧬 What is DHEA-Sulfate?

Dehydroepiandrosterone sulfate (DHEA-S or DHEAS) is a steroid hormone produced primarily by the adrenal glands, with smaller amounts made by the ovaries (in women) and testes (in men). It serves as a precursor to male and female sex hormones like testosterone and estrogens.

DHEAS is more stable and has a longer half-life than free DHEA, making it the preferred marker in blood tests for assessing adrenal androgen function.

🩺 Why is the DHEAS Test Done?

The test is used to:

  • Evaluate adrenal gland function
  • Investigate early puberty (precocious puberty) in children
  • Diagnose adrenal tumors or adrenal hyperplasia
  • Help assess polycystic ovary syndrome (PCOS) in women
  • Investigate excess hair growth (hirsutism) and acne
  • Evaluate androgen-producing tumors (e.g., in the adrenal cortex or gonads)

📊 Normal Ranges (Typical)

(Can vary slightly by lab and age/sex)

Group

DHEAS Range (µg/dL)

Men (20–50 yrs)

180 – 560

Women (20–50 yrs)

65 – 380

Children

Varies with age and puberty stage

🧪 Test Overview

Parameter

Details

Sample Type

Blood (serum)

Test Method

Chemiluminescence (CLIA) / Immunoassay

Fasting Required

❌ Not typically required

Collection Time

Morning sample preferred

Turnaround Time

1–2 days

🔍 Interpretation of Results

Result

Possible Causes

High DHEAS

- Adrenal hyperplasia
- PCOS
- Adrenal tumors
- Early puberty in children

Low DHEAS

- Adrenal insufficiency (Addison’s disease)
- Pituitary dysfunction
- Aging

🧩 Associated Organs and Conditions

Organ

Primary Role

Adrenal Glands

Produce DHEAS and other corticosteroids

Ovaries/Testes

Secondary source (minor)

Pituitary Gland

Indirect control via ACTH

Condition

DHEAS Role

Polycystic Ovary Syndrome (PCOS)

Often elevated

Adrenal Tumors

Very high levels may be present

Congenital Adrenal Hyperplasia

Elevated in some forms

Adrenal Insufficiency

Decreased DHEAS

🔗 Related/Follow-up Tests

Test

Purpose

Testosterone (Total/Free)

Assess androgen levels more directly

LH & FSH

Evaluate pituitary-gonadal axis

17-Hydroxyprogesterone

Screen for congenital adrenal hyperplasia

Cortisol, ACTH

Evaluate adrenal or pituitary insufficiency

Pelvic/Adrenal Imaging

If tumor or hyperplasia is suspected

Prolactin, Estradiol

For broader evaluation in PCOS or menstrual irregularities

🧾 Summary

Category

Details

Test Name

DHEA-Sulfate (DHEAS)

Sample

Serum (blood)

Fasting

Not required

Primary Use

Evaluate adrenal androgen production

Organ Focus

Adrenal glands

Commonly Used In

PCOS, adrenal disorders, puberty issues

Follow-ups

Testosterone, Cortisol, LH/FSH, ACTH

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