Cortisol level

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Cortisol level

Definition:

A cortisol level is a blood test that measures the amount of cortisol, a steroid hormone produced by the adrenal cortex.

Alternative Names:

Hydrocortisone test

How the test is performed:

Blood is drawn from a vein, usually on the inside of the elbow or the back of the hand. The puncture site is cleaned with antiseptic, and an elastic band is placed around the upper arm to apply pressure and restrict blood flow through the vein. This causes veins below the band to fill with blood.

A needle is inserted into the vein, and the blood is collected in an air-tight vial or a syringe. The band is then removed to restore circulation. After blood has been collected the needle is removed, and the puncture site is covered to stop any bleeding.

For an infant or young child, the area is cleansed with antiseptic and punctured with a sharp needle or a lancet. The blood may be collected in a pipette (small glass tube), on a slide, onto a test strip, or into a small container. A bandage may be applied to the puncture site if there is any bleeding.

How to prepare for the test:

The health care provider may advise you to stop taking drugs that can affect the test. Drugs that can increase cortisol measurements include estrogen and synthetic glucocorticoids, like prednisone and prednisolone. Drugs that can decrease cortisol measurements include androgens and phenytoin.

How the test will feel:

When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.

Why the test is performed:

Cortisol levels are often measured to evaluate the pituitary and adrenal function.

Review Date: 3/8/2006
Reviewed By: Robert Hurd, M.D., Department of Biology, College of Arts and Sciences, Xavier University, Cincinnati, OH. Review provided by VeriMed Healthcare Network.

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