All answers
Answer · hormone optimization
What is androstenedione?
Short answer
Androstenedione is an adrenal androgen precursor to testosterone and estrone. Elevated levels can flag PCOS, congenital adrenal hyperplasia, or androgen-secreting tumors.
Reviewed by Dr. Laura PurdyMay 29, 2026
Full answer
Androstenedione is produced by both the adrenal cortex and the gonads and is the immediate precursor to testosterone and estrone. Elevated androstenedione contributes to the workup of hyperandrogenism, PCOS, congenital adrenal hyperplasia, and rare androgen-secreting tumors. Within oMeds review, androstenedione is interpreted alongside total testosterone, DHEA-S, 17-OH progesterone, and clinical symptoms. It is not part of baseline hormone panels and is ordered selectively when androgen excess is suspected.
Educational. Not a substitute for individualized provider review.
References & sources
- Androstenedione — Primary source · oMeds
- Reviewed by Dr. Laura Purdy, MD, MBA · Clinical Director, oMeds · Last reviewed 2026-05-29
Related answers
What is pregnenolone?
Pregnenolone is the upstream steroid precursor to cortisol, DHEA, progesterone, and downstream sex hormones. It is reviewed selectively in advanced hormone workups.
What is DHEA-S?
DHEA-S (dehydroepiandrosterone sulfate) is the stable, sulfated reservoir of DHEA produced by the adrenal cortex. It is the standard marker of adrenal androgen output and declines steadily with age. It is read alongside cortisol, testosterone, and SHBG.
Primary source
Androstenedione 
