What lab tests should your doctor perform if you have both PCOS and NC-CAH?
When managing both conditions, your doctor will likely monitor several hormone levels regularly to ensure your treatment is working properly and to watch for complications.
Key hormones typically tested include:
- Androstenedione - helps track Show Full Answer
What lab tests should your doctor perform if you have both PCOS and NC-CAH?
When managing both conditions, your doctor will likely monitor several hormone levels regularly to ensure your treatment is working properly and to watch for complications.
Key hormones typically tested include:
- Androstenedione - helps track androgen production
- 17-hydroxyprogesterone (17-OHP) - elevated in NC-CAH
- Testosterone - measures androgen levels affected by both conditions
- Renin - if salt balance is affected (less common in NC-CAH but possible)
Your doctor may also monitor for complications by checking:
- Blood pressure
- Menstrual cycle patterns
- Bone density
- Body weight and metabolic markers
- Insulin resistance
- Signs of excess androgen effects (acne, hair growth patterns)
The specific tests and frequency depend on your symptoms, medication doses, and how well controlled your hormone levels are. Where do DHEA and DHEA-S tests fall in the spectrum?
While the search results don't specifically mention DHEA or DHEA-S testing for monitoring NC-CAH, these are androgen precursors that some endocrinologists may include when evaluating androgen excess in people with both PCOS and NC-CAH.
DHEA-S is produced by the adrenal glands and can help distinguish between adrenal and ovarian sources of excess androgens. Since you have both conditions affecting different hormone pathways, your doctor may find these tests helpful alongside the standard monitoring panel.
It's worth discussing with your endocrinologist whether adding DHEA/DHEA-S testing would provide useful information for managing your specific situation, especially given your long treatment history.
February 28