A member asked:

Tested for cah but negative. androstenedione moderately elevated, testosterone slightly elevated. what could this be? polycystic ovaries on us

7 doctors weighed in across 2 answers

PCOS: Hi. PCOS sounds likely, but that wouldn't explain the elevated androstenedione (A-dione). Was the 17-hydroxyprogesterone tested to exclude CAH? CAH due to 21-hydroxylase deficiency is the most common CAH, but not the only one. I'm still guessing there is CAH to explain the elevated A-dione. I have patients who have both PCOS and CAH. Good luck!

Answered 3/16/2015

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PolycysticOvarianSyn: You have polycystic ovaries and elevated testosterone and moderately elevated Androstenedione levels and that will go with a diagnosis of Polycystic Ovarian Syndrome. We do not know why you were tested foe CAH at age of 21 Follow up with your Endocrinologist

Answered 3/17/2015

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