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CAH panel for monitoring 21-hydroxylase deficiency therapy in patients and families

CAH Monitoring Panel — 21-Hydroxylase Deficiency Blood Test

CAH Panel 7 (21-Hydroxylase Deficiency Therapeutic Monitoring)

  • Monitor adrenal hormone treatment progress
  • Track steroid medication dose effectiveness
  • Check growth and energy hormone balance
$1301
First results as soon as overnight*
Example results

All results normal? Get your money back. First-time customers only. File a support ticket titled “Money Back Guarantee” with your order number within 15 days of receiving your results. STD, Sickle Cell, and gift orders aren’t eligible. Full terms apply. guarantee
No questions asked refunds
LegitScript certified

Prescription & all lab fees included

Go directly to the lab, no extra fees

Doctor's guidance included

Easy to understand results

Fast & convenient

Lab visit as quick as 10 mins in & out

Prescription & all lab fees included

Go directly to the lab, no extra fees

Doctor's guidance included

Easy to understand results

Fast & convenient

Lab visit as quick as 10 mins in & out

All results normal? Get your money back. First-time customers only. File a support ticket titled “Money Back Guarantee” with your order number within 15 days of receiving your results. STD, Sickle Cell, and gift orders aren’t eligible. Full terms apply. guarantee
No questions asked refunds
LegitScript certified

What's this test for?

This test is ideal if you're managing congenital adrenal hyperplasia (CAH) caused by 21-hydroxylase deficiency and need to check how well your current treatment is working. It's also useful if you've noticed changes in energy, growth, weight, or menstrual cycles while on steroid replacement therapy. Regular monitoring helps make sure your medication dose is keeping your hormone levels balanced, not too high or too low.

What's included in this test?

This panel checks several hormones from the adrenal gland pathway that are affected by 21-hydroxylase deficiency. These markers matter because they show whether your steroid replacement dose is adequately controlling excess androgen production while avoiding the side effects of over-treatment. Looking at multiple related hormones together gives a fuller picture than checking just one value alone.

What happens after I get my results?

Your results will show up in your account with each hormone level explained alongside its normal range, so you can see exactly where you stand. Depending on what the numbers show, next steps might include adjusting the timing of medication doses, watching for signs of over- or under-treatment, or simply retesting on a regular schedule to stay on track. You can download a standard lab report straight from your account at any time. The trends feature also lets you track your hormone levels over time, which is especially helpful for a condition that needs ongoing monitoring.

How can I naturally support adrenal hormone balance?
While CAH itself requires medication management, you can support your body by keeping consistent sleep habits, since poor sleep can throw off cortisol rhythms. Managing physical and emotional stress with regular movement, breathing exercises, or downtime also helps because stress hormones interact with the same adrenal pathways this test measures. Eating regular, balanced meals prevents blood sugar swings that can add extra strain on your adrenal glands. These habits work alongside your treatment plan, they don't replace it.
When will I get my results?
Results are typically ready within about 7 days of your blood draw. Once processed, they'll be uploaded directly to your secure online account, and you'll get a notification when they're ready to view. You won't need to call or wait for a mailed report.
Who should consider this test?
This test is a good fit for anyone already diagnosed with 21-hydroxylase deficiency who is on steroid replacement therapy and needs periodic monitoring. It's also useful for people who've had recent dose changes and want to confirm their treatment is working as expected. Parents managing a child's CAH treatment plan may also use this panel to track progress over time.
What symptoms indicate I may need this test?
Signs like unusual fatigue, unexplained weight changes, irregular periods, excess body hair growth, or changes in growth rate can suggest your hormone levels need a check. Salt cravings, low blood pressure, or dizziness can also be signs worth investigating. If you're already being treated for CAH and notice any of these changes, it may be time to retest.
What does high 17-hydroxyprogesterone mean?
A high 17-hydroxyprogesterone level usually means your current steroid dose isn't fully suppressing excess androgen production, a sign your treatment plan may need adjusting. This can show up as symptoms like acne, unwanted hair growth, or irregular cycles. Bringing this to light early through retesting helps fine-tune your medication before symptoms become more noticeable.
What does low 17-hydroxyprogesterone mean?
A lower than expected level can sometimes mean your steroid dose is a bit too high, which over time may affect growth in children or bone health in adults. It's not usually an emergency, but it's worth tracking with a follow-up test. Small dose adjustments are often enough to bring levels back into a healthy range.
How often should I retest?
Many people managing CAH retest every 3 to 6 months, or sooner after any medication dose change. Growing children may need more frequent checks since their hormone needs shift as they grow. Using the trends feature in your account makes it easy to spot patterns and know when it's time for your next test.
How’s this work?
Getting your blood test with us is easy, private & backed by the power of science.

Long story short:
  1. In the test options, use the filters or search box to narrow your choices and find the test you want.
  2. If you need a hand navigating through options, text our super friendly support team at 754-799-7833, and we'll provide tailored suggestions to help you find the ideal test.
  3. Once your order is placed, we’ll create your doctor’s lab order remotely, without any need for you to make a trip to a doctor in person or to talk to the doctor. Expect to receive your doctor’s lab order right in your inbox. It will also be in your patient portal if you need to find it later. We’ll also include instructions regarding fasting and other requirements for your test. Your patient portal will be auto-created hassle-free during checkout.
  4. If this is your first time ordering, you'll be prompted to create a password for instant login access to your patient portal. It's a quick way to conveniently access your orders and results whenever you want.
  5. When you’re ready, visit one of our 4,000 locations. Just bring your ID – no printing or faxing of your lab order is needed, as your order and details will already be in the lab system.
  6. Note that most lab locations don’t accept walk-ins, so it’s best to book an appointment in advance. Don’t worry – we’ll provide detailed instructions along the way.
  7. You’ll get your results via email & SMS and dive into understanding your body better. Yup, that easy!
  8. If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.
How do I know which test to get?
In the test options, find the test you want. If you’re not sure which test to get, we can lend a hand in finding the right option.

Just text or call us at 754-799-7833, email us at [email protected], and we'll gladly help you. We've got your back and reply quickly.
Is it possible to make changes to my lab order if I made a mistake with the name, date of birth, or any other details?
Absolutely! We totally understand that errors can happen. No worries, we're here to help you.

Just reach out to us via text at 754-799-7833 or shoot us an email at [email protected]. Remember to include your order number and let us know the correct information you’d like to update. Our awesome team will jump right in and make sure everything is sorted out and accurate for you.

There are no changes necessary if your address is wrong on the requisition though. We don’t mail anything out.

Our lab requires an address to be listed to generate an order.
Do you accept health insurance?
Only HSA & FSA is accepted.

Our services are strictly self-pay and cannot be submitted to your health insurance provider except for Health Savings Accounts or Flexible Savings Accounts.

This policy applies to all insurance companies, including federal health insurance programs like Medicare.

If you have any questions, please text us at 754-799-7833 or email [email protected].
Can I cancel my order?
Yes.

We get it – sometimes your needs change.

As long as your samples haven’t been collected yet, we’re happy to help you cancel your order.

If you have any further questions, please text us at 754-799-7833 or email [email protected].

You can read more about our cancellation policy here.
How can I find a lab location near me?
During the ordering process, you’ll be able to select a specific lab near you, with no strings attached! You can switch it up later easily and visit any of our authorized locations as long as it’s the same lab company you selected your test for (Quest Diagnostics or Labcorp).

Before you proceed with your order, feel free to browse through all our lab locations here. This will give you the peace of mind of knowing that there's a lab nearby your home, office or your favorite gym.

If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.

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Demo results
17-Hydroxyprogesterone 450 ng/dL
Demo results
Low Optimal (30-250 ng/dL) High
450 ng/dL

What this means

This result is above the optimal range, suggesting your current steroid dose may not be fully controlling excess androgen production. This pattern is common when medication timing is inconsistent or a dose adjustment is needed. It's not an emergency, but it's worth addressing soon.

* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More advanced tests may take longer due to complexity.
Here’s how easy it is to get blood work done on your terms
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Order your test Save a trip to the doctor. Your results will come with clear, friendly explanations. Takes 2 minutes
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Get results Receive a clear, easy-to-digest health report by email & SMS within a few business days. Get answers, fast

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CAH Monitoring Panel — 21-Hydroxylase Deficiency Blood Test

  • Monitor adrenal hormone treatment progress
  • Track steroid medication dose effectiveness
  • Check growth and energy hormone balance
$1301
Still got questions? Text our super-cool support team at 754-799-7833 to get help finding your ideal checkup.
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For informational purposes only. Not medical advice.