do you need to have an acth stim test? do certain medications affect test results for ncah?
hi! my (f23) doctor recently added a few things to my blood test to check for what im assuming would be ncah. he wrote in my notes from the last visit "17-hydroxyprogesterone, 11 deoxy cortisol, and 17 hydroxy pregnenolone all normal". he never brought up the test to me he just said he wanted to double check a few levels and when i asked at the last visit he said those levels came back fine. i do have a pcos diagnosis
would medication affect my blood test results? i currently take birth control (2yrs), estradiol 2mg, colestipol 1g, metformin 750mg (all 1yr) and he started me on wegovy 1.5 tablets a few months ago.
my dhea-s and dhea are significantly high. my dhea has gone from 549ug/dL to 804ug/dL, now to 1179ug/dL. my dhea-s has gone from 570ug/dL to 849ug/dL to now 674ug/dL. my testosterone levels have always been very elevated, but are now only slightly elevated after slowly being on medication.
so that brings up my two questions: is just a blood panel sufficient to say i am negative for ncah or should i inquire about an acth stim test? i dont really know if the difference is significant. and finally, would my current medications affect the results of what he tested?
i just want to better understand