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Test Code 62871323 Progesterone Level

Performing Laboratory

Torrance Memorial Laboratories

Specimen Requirements

Submit the following specimen:
 

Specimen Type: Serum

Container/Tube: Serum gel

Additional Instructions:   Allow to sit for 30 minutes prior to spinning.  Spin within 2 hours of collection.

 

Also acceptable:  Red top tube
Specimen Volume 0.6 mL serum
Reject due to gross hemolysis or lipemia.

 

Specimen Transport Temperature

Ambient

 

Storage Temp Stability:
Room Temperature: 8 hours
Refrigerated Temperature: 10 days (remove serum or plasma from serum or separator)
 

Methodology

Competitive Immunoassay

Reference Range

New reference range effective 7/1/2024

Females:
     Normal menstruating females 

Follicular phase     <0.1 - 0.3 ng/mL

Luteal phase          1.2 - 15.09 ng/mL

 

Postmenopausal              < 0.1 - 0.2 ng/mL

 

Pregnant females

First Trimester         2.8 - 147.3 ng/mL

Second Trimester   22.5 - 95.3 ng/mL

Third Trimester       27.9 - 242.5 ng/mL

 

Males:                                <0.1 - 0.2  ngmL

 

Reference ranges for children not established in the laboratory.  

 

Limitations:
Heterophilic antibodies in human serum can react with reagent immunoglobulins, interfering with in vitro immunoassays.  Patients routinely exposed to animals or animal serum products can be prone to this interference and anomolous values may be observed.    The supplement dehydroepiandrosterone (DHEA) may cause falsely elevated progesterone results in immunoassays. At an initial concentration of progesterone of 0.70 ng/mL (2.23 nmol/L), a 211% change in concentration was observed at the supraphysiologic level of DHEAS (DHEA metabolite) of 20,000 ng/mL. For patients being treated with DHEA, an alternate method that is not expected to show cross-reactivity to DHEAS (DHEA metabolite), such as liquid chromatography-mass spectrometry (LC-MS), should be used.  With the advent of new steroid-based medications (analogues) with similar chemical structure to progesterone, there is a possibility of cross-reactivity and falsely elevated results. For diagnostic purposes, the results should always be assessed in conjunction with the patient’s medical history, clinical examination and other findings. If the progesterone results are inconsistent with clinical evidence, additional testing is suggested to confirm the result.   Steroid based medications may cross-react and falsely elevate results.   

Day(s) Test Set up/TAT

Performed:

Daily

 

TAT:

Routine: < 4 hrs

Aliases

None

CPT Code

84144