Sign in →

Test Code E2 Estradiol Level

Additional Codes

Cerner

NextGen

Estradiol Level

Estradiol Level

Useful For

Estradiol is produced by the adrenals, placenta, and testes and is the principal estrogen secreted by the ovaries.  Estradiol normally exerts negative feedback control on gonadotropin release, however, as estradiol production accelerates with the rapid growth of the dominant follicle, this feedback becomes positive, causing a surge in LH secretion, and ovulation occurs.  The measurement of estradiol is useful in assessing a variety of menstrual dysfunctions including delayed puberty, amenorrhea, and menopause.

Methodology

Chemiluminescent, Competitive Immunoassay

Patient Preparation

None

Collection Instructions

Standard phlebotomy practices.

Specimen Requirements

Container

Specimen Type

Tube

Lithium Heparin Plasma

PST

 or  or 

Serum

 or 

SST

 or  or 

 

Stability

Storage

Temperature

Stability

Room Temperature

18-28°C

Not recommended

Refrigerated

 2-8°C

≤ 2 days

Frozen

≤-20 °C

4 weeks

Thaw 1 time only

Rejection Criteria

Gross Hemolysis

Turbid Specimens

Result Reporting and Reference Values

Reported in pg/mL

 

Low

High

Postmenopausal Female (Not on hormone therapy)

6

38

Normal Female Follicular

27

161

Normal Female Pre-ovulatory peak

187

382

Normal Female Luteal

33

201

Normal Male (18Y-150Y)

6

66

Reflex Testing

None

Limitations

  • Ortho reports the following biases:
    • Bilirubin at 20 mg/dL shows bias of 130 pg/mL
    • Hemoglobin at 500 mg/dL shows bias of -55 pg/mL
    • Biotin can cause a positive bias