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ACTH stimulation test
The acth stimulation test evaluate whether the adrenal gland can respond to stimulation from the pituitary gland by giving an artificial form of the pituitary hormone (acth) and measuring the adrenal gland hormone (cortisol) before and after the injection. Normally the cortisol level will rise after the injection; in most instances failure to do so indicates a problem with the adrenal gland.
Dr. Carol Cheney reviewed this
47 year experience in Endocrinology
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Related questions
A 29-year old asked:
Acth stimulation test results accurate?
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A 30-year old female asked:
ACTH stimulation test. Base 9.8 mcg/dl 30 min: 28.7 and 60 min: 37.3 is this normal?
1 doctor answer • 1 doctor weighed in
A 29-year old female asked:
ACTH Stimulation Test results: baseline cortisol 6.2, 30 min 19.4, 1 hour 22.7. Suspect SAI?
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A 41-year old female asked:
Is an ACTH Stimulation test w/ results of: baseline cortisol 30 ug/dl; after 30 min: 16.7 ug/dl; and 60 min: 21.3 ug/dl considered normal?
2 doctor answers • 2 doctors weighed in
A 28-year old female asked:
Can i drive myself after acth stimulation test or should I have someone drive me? I don't know what to expect? Might i feel better or worse after ?
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A 19-year old female asked:
What is the difference between acth plasma and acth stimulation test? Which one is more reliable and accurate? Can you depend solely on acth plasma?
1 doctor answer • 2 doctors weighed in
A 40-year old asked:
What is an acth stimulation test for?
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A 30-year old asked:
Acth stimulation test -- is that done in a lab?
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A 19-year old female asked:
I've been showing strong symptoms of addisons disease.Should i opt for an acth stimulation test?
2 doctor answers • 2 doctors weighed in
A 32-year old female asked:
What is the indication and contraindication of acth stimulation test? What is the management for acth stimulation test?
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A 35-year old female asked:
I had an acth stimulation test. Why would my cortisol level go up and then way down? (0mim-8.11mcg/dl)(30min-20.14mcg/dl)(60min.-10.76mcg/dl)
1 doctor answer • 1 doctor weighed in
A 20-year old female asked:
Suspicion of Ncah. Had acth stimulation test. Baseline 17-0H = 3.70nmol/l. After 30 mins = 9.38nmol/l. After 60 mins = 12nmol/l.What does this say?
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A 26-year old female asked:
Does a positive 21 hydroxylase antibody test mean addision's disease even if the acth stimulation test comes back normal?
2 doctor answers • 4 doctors weighed in
A 28-year old female asked:
Can prednisone affect an acth stimulation test? I'm on 5 mg daily for months and will have test in 1 week!
1 doctor answer • 3 doctors weighed in
A 37-year old female asked:
What is an acth stimulation test for? What does it diagnose? I took one and it was a simple blood test. Is that normal?
1 doctor answer • 2 doctors weighed in
A 33-year old male asked:
After acth stimulation test confirms adrenal insufficiency does it always need to be treated and/or followed up and how often?
1 doctor answer • 3 doctors weighed in
A 19-year old female asked:
Acth plasma and cortisol blood tests were normal but I have strong addisons symptoms with bronzing.What to do? Should I do an acth stimulation test?
1 doctor answer • 1 doctor weighed in
A 19-year old female asked:
Serum cortisol 145 ng/ml, acth plasma 25. I have skin bronzing since two years.Should I do acth stimulation test as well?
1 doctor answer • 2 doctors weighed in
A 33-year old male asked:
Acth stimulation test w/poor response. I was told to wear a med bracelet and take prednisone. How do I know if it's addison's vs adrenal isufficiency?
1 doctor answer • 2 doctors weighed in
A 51-year old female asked:
Always so cold, low blood pressure 77/42 sometimes. Low blood sugar. ACTH stimulation test ok. But sometimes low cortisol. Ideas?
1 doctor answer • 2 doctors weighed in
A 51-year old female asked:
Normal ACTH stimulation test could I still have secondary adrenal insufficiency? I have low blood pressure and low blood sugar
1 doctor answer • 4 doctors weighed in
A 28-year old female asked:
Is it possible to have addison's & have normal sodium and potassium level & only test abnormal is the acth stimulation test?
1 doctor answer • 2 doctors weighed in
A 39-year old asked:
What is the acth plasma stimulation test?
2 doctor answers • 2 doctors weighed in
A 38-year old asked:
What is ab acth plasma stimulation test used for?
1 doctor answer • 3 doctors weighed in
A 51-year old female asked:
Low cortisol. Low acth but normal stimulation test. Could I still have secondary adrenal insufficiency?
1 doctor answer • 1 doctor weighed in
A 23-year old female asked:
Does short synathcen ACTH test rule out secondary adrenal insufficiency? My 9am cortisol was 8.7, after 30 mins stimulation it was 23.1 and after 60 it was 25.2. If no what other tests are needed? If yes, is the cortisol a concern? Thanks?
1 doctor answer • 1 doctor weighed in
A 37-year old female asked:
Help! I have fatigue, brain fog, dizziness (upon waking only). My 24hr salivary cortisol results were very low which instigated a serum cortisol test (8am 11.2 Mcg/d)l and a plasma acth (8am 16 pg/ml) my A1C was 4.8. Should I do a stimulation test?
1 doctor answer • 1 doctor weighed in
A 31-year old female asked:
On a ACTH stimulation 3 time point base number 8, 30 min =23.5, 60 min = 39.6 does this suggest secondary adrenal insufficiency?
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A 44-year old female asked about a 17-year old female:
My kid 17yrafter acth stimulation, after 1hr 8min, 17 oh progesterone-2.56 ng/ml, has acne, hirsutism, spotting before period, if it is locah, what treatment?
1 doctor answer • 1 doctor weighed in
A 40-year old female asked:
What is acth stim test and does it make a person uncomfortable to have it?
1 doctor answer • 1 doctor weighed in
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