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 |
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Stability |
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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