Health Encyclopedia

17-ketosteroids

Definition

17-ketosteroids are substances that form when the body breaks down male steroid sex hormones called androgens and other hormones released by adrenal cortex. This article discusses the laboratory test used to measure the amount of 17-ketosteroids in a urine sample.

How the test is performed

A 24-hour urine sample is needed.

On day 1, urinate into the toilet when you get up in the morning.
Afterwards, collect all urine in a special container for the next 24 hours.
On day 2, urinate into the container when you get up in the morning.
Cap the container. Keep it in the refrigerator or a cool place during the collection period.
Label the container with your name, the date, the time of completion, and return it as instructed.

For an infant, thoroughly wash the area around the urethra. Open a urine collection bag (a plastic bag with an adhesive paper on one end), and place it on the infant. For males, place the entire penis in the bag and attach the adhesive to the skin. For females, place the bag over the labia. Diaper as usual over the secured bag.

This procedure may take a couple of attempts -- lively infants can move the bag, causing the urine to be absorbed by the diaper. Check the infant frequently and change the bag after the infant has urinated into it. Drain the urine from the bag into the container provided by your health care provider.

Deliver it to the laboratory or your health care provider as soon as possible upon completion.

How to prepare for the test

Your health care provider will instruct you, if necessary, to discontinue drugs that may interfere with the test.

Drugs that can increase 17-ketosteroids measurements include

Antibiotics
Chloramphenicol
Chlorpromazine
Dexamethasone
Meprobamate
Phenothiazines
Quinidine
Secobarbital
Spironolactone

Drugs that can decrease 17-ketosteroids measurements include:

Birth control pills
Estrogens
Probenecid
Promazine
Reserpine
Salicylates (prolonged use)
Thiazide diuretics

How the test will feel

The test involves only normal urination, and there is no discomfort.

Why the test is performed

Your doctor may order this test if you have signs of a disorder associated with abnormal levels of androgens.

Normal Values

Normal values are as follows:

Male: 8 to 20 milligrams (mg) per 24 hours
Female: 6 to 12 mg/24 hr

Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.

What abnormal results mean

Increased levels of 17-ketosteroids may indicate:

Adrenal tumor
Congenital adrenal hyperplasia (very rare)
Cushing syndrome
Ovarian cancer
Testicular cancer
Ovarian dysfunction (polycystic ovarian disease)

Decreased levels of 17-ketosteroids may indicate:

What the risks are

There are no risks.

Review Date:10/24/2007
Reviewed By:Robert Hurd, MD, Professor of Endocrinology, Department of Biology, Xavier University, Cincinnati, OH, and physician in the Primary Care Clinic, Cincinnati Veterans Administration Medical Center, Cincinnati, Ohio. Review provided by VeriMed Healthcare Network.

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