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Sorted By Test Name - Mayo Medical Laboratories

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FPNTS<br />

57311<br />

PGSN<br />

8141<br />

Procollagen Type I Intact N-Terminal Propeptide<br />

Reference Values:<br />

Males: 22-105 ug/L<br />

Females:<br />

Premenopausal: 20-101 ug/L<br />

Postmenopausal: 16-96 ug/L<br />

<strong>Test</strong> Performed by: ARUP <strong>Laboratories</strong>, Inc.<br />

500 Chipeta Way<br />

Salt Lake City, UT 84108<br />

Progesterone, Serum<br />

Clinical Information: Sources of progesterone are the adrenal glands, corpus luteum, and placenta:<br />

Adrenal Glands Progesterone synthesized in the adrenal glands is converted to other corticosteroids and<br />

androgens and, thus, is not a major contributor to circulating serum levels unless there is a<br />

progesterone-producing tumor present. Corpus Luteum After ovulation, there is a significant rise in serum<br />

levels as the corpus luteum begins to produce progesterone in increasing amounts. This causes changes in<br />

the uterus, preparing it for implantation of a fertilized egg. If implantation occurs, the trophoblast begins<br />

to secrete human chorionic gonadotropin, which aintains the corpus luteum and its secretion of<br />

progesterone. If there is no implantation, the corpus luteum degenerates and circulating progesterone<br />

levels decrease rapidly, reaching follicular phase levels about 4 days before the next menstrual period.<br />

Placenta <strong>By</strong> the end of the first trimester, the placenta becomes the primary secretor of progesterone.<br />

Useful For: Ascertaining whether ovulation occurred in a menstrual cycle Evaluation of placental<br />

function in pregnancy Workup of some patients with adrenal or testicular tumors<br />

Interpretation: Ovulation results in a mid-cycle surge of luteinizing hormone (LH) followed by an<br />

increase in progesterone secretion, with a peak being reached between day 21 and 23. If no fertilization<br />

and implantation has occurred by then, supplying the corpus luteum with human chorionic<br />

gonadotropin-driven growth stimulus, progesterone secretion falls, ultimately triggering menstruation. A<br />

day 21 to 23 serum progesterone peak of 6.5 ng/mL to 7 ng/mL is the minimal level considered consistent<br />

with ovulation. A level in excess of 18 ng/mL is considered conclusive proof of ovulation. Placental<br />

insufficiency has been associated with low levels of LH and progesterone. Levels of LH and progesterone<br />

may be increased in some adrenal or testicular tumors.<br />

Reference Values:<br />

Males<br />

Cord blood: 569-1,107 ng/mL*<br />

0-23 months: 0.87-3.37 ng/mL*<br />

2-9 years: or =18 years: 0.20-1.40 ng/mL<br />

Females<br />

Cord blood: 569-1,107 ng/mL*<br />

0-23 months: 0.87-3.37 ng/mL*<br />

2-9 years: 0.20-0.24 ng/mL*<br />

10-17 years: values increase through puberty and adolescence.*<br />

Premenopausal<br />

Follicular phase: 0.20-1.50 ng/mL<br />

Ovulation phase: 0.80-3.00 ng/mL<br />

Luteal phase: 1.70-27.00 ng/mL<br />

Postmenopausal:

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