Androstenedione

Also known as: A4, 4-Androstenedione

An androgen precursor made by both the adrenals and gonads, converted into testosterone and estrone.

Helps localise the source of androgen excess — particularly useful in women with hirsutism, acne or hair loss to distinguish adrenal from ovarian causes, and to screen for non-classic CAH.

🔒 The full Androstenedione protocol is inside the Academy

Optimal ranges, root causes, and the complete correction protocol — nutrition, supplements, lifestyle, hormones and peptides — plus 100+ other markers.

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📚 Endocrine Society CPG — Hirsutism in Premenopausal Women. Rotterdam PCOS criteria.

🩸 Test your Androstenedione

Order directly through Marek Diagnostics — no doctor's visit needed, drawn at any Quest location in the US. Code CAMERON applies 10% off automatically.

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What Androstenedione is usually tested alongside

On its own, one marker is a data point. These panels include Androstenedione plus the markers that make it interpretable — each names every test, why it is on the list, and loads the whole set into your cart in one click at 10% off.

🔍 Low T? Rule Out the Reversible Causes First $211.50
includes this + 10 more markers · built for men — Fatigue, low libido, poor recovery, mood or body composition changes — and you're considering TRT. Read this before you start.
📋 Pre-TRT Baseline $257.40
includes this + 10 more markers · built for men — You've decided to start testosterone therapy. Draw this before your first injection.
🌗 Perimenopause & Menopause $244.35
includes this + 10 more markers · built for women — Anywhere from late 30s onward with cycle changes, night sweats, sleep disruption, mood shifts, joint aches, brain fog, or a libido that fell off a cliff.
🌸 PCOS Workup $225.90
includes this + 9 more markers · built for women — Irregular or absent periods, acne, unwanted hair growth, scalp thinning, difficulty losing weight, or you've been told 'probably PCOS' without a workup.

Would you feel it? Symptoms Androstenedione helps explain

People rarely search for a marker — they search for how they feel. These are the complaints where this marker is worth checking, and whether it is a first-line test or a follow-up once the obvious causes are ruled out.

🌸 Excess facial or body hair, adult acne, or thinning at the crown (women)then

Why your Androstenedione might be wrong

Most abnormal results are interference, not disease. These are the things that measurably move this specific marker — check them before you change anything. Each one says whether the number is wrong and should be repeated, badly timed and should be redrawn, or real with a cause worth explaining.

🕐 Time of dayThe value is real but reflects a moment — retime it

Follows a daily rhythm with a morning peak, so a value drawn at 8am and one drawn at 2pm are not comparable numbers.

Draw between 7 and 9am, and use the same window every time you retest.

🕐 Menstrual cycle phaseThe value is real but reflects a moment — retime it

Varies severalfold across a normal cycle, so a result without a cycle day attached is close to uninterpretable.

Note the cycle day. Day 3 for the follicular baseline; seven days after ovulation for the luteal phase.

🏃 Adrenal contributionA real change — retest once it passes

Comes from both adrenal and gonadal sources, so it moves with stress and with the cycle at once.

Interpret alongside DHEA-S and 17-OHP rather than alone.

What Androstenedione means in combination

A single marker tells you a little. Combinations tell you the story — these are the named patterns this marker takes part in, and what each one points at.

High androgens that are adrenal, not ovarian
DHEA-S high · 17-OH progesterone high · Androstenedione high · Testosterone normal or mildly up

Points upstream of the ovary. Markedly raised 17-OHP suggests non-classic congenital adrenal hyperplasia, which is routinely mislabelled as PCOS and managed the wrong way for years.

An 8am 17-OHP is the discriminating test — this is worth getting right, because NCAH and PCOS are treated differently. Bring it to an endocrinologist rather than treating it as PCOS by default.

What to test next

Markers rarely answer alone. These are the ones that put Androstenedione in context — each with its own full breakdown.

Frequently asked questions

What is a normal Androstenedione level?

40–150 ng/dL Ranges vary by laboratory and assay — always compare to the range printed on your own report.

What is the optimal Androstenedione level?

Optimal ranges, root causes and the full correction protocol are available inside Coach Cam's Peptide Academy.

What causes high Androstenedione?

See the full breakdown inside the Academy.

What causes low Androstenedione?

See the full breakdown inside the Academy.

How do I test Androstenedione?

You can order Androstenedione directly through Marek Diagnostics without a doctor's visit — drawn at any Quest Diagnostics location in the US. Code CAMERON applies 10% off automatically.

Important: This page is education only. The ranges shown are published reference and functional ranges from the cited literature — not a diagnosis and not medical advice. Lab ranges vary by assay and laboratory; always compare against the range printed on your own report and discuss your results with a qualified healthcare provider.