The hormone 17-hydroxyprogesterone is produced by the adrenal glands. 17-OHPg is converted to cortisol, which is released in varying amounts, but at particularly high levels during times of physical or emotional stress. A cortisol deficiency can occur in certain people which can lead to an increase in 17-OH progesterone in the blood. LCMS saliva testing has allowed accurate determination of 17-OH progesterone along with other androgens, correlating with serum levels and allowing useful steroid profiling in disorders of steroid metabolism19. High levels of 17-OHPg can indicate CAH. CAH is a glandular disorder that results in the adrenal glands being unable to create enough cortisol, which may consequently increase the production of DHEA and testosterone.
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