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DHEA Sulfate (DHEA-S) Testing

DHEA Sulfate (DHEA-S) Testing

January 21, 2026
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Do I need a DHEA Sulfate (DHEA-S) test?

Feeling exhausted, losing muscle tone, or noticing your libido isn't what it used to be? Could low DHEA-S be affecting your energy, mood, and vitality?

DHEA-S is a hormone produced by your adrenal glands that supports energy production, muscle maintenance, and sexual health. When levels drop, you may experience fatigue, reduced stamina, and hormonal imbalances.

Testing your DHEA-S gives you a quick snapshot of your adrenal function and hormone balance, revealing whether deficiencies are contributing to your exhaustion or declining vitality. It's the essential first step to personalizing your health plan and reclaiming your energy.

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If you’ve been postponing blood testing for years or feel frustrated by doctor appointments and limited lab panels, you are not alone. Standard healthcare is often reactive, focusing on testing only after symptoms appear or leaving patients in the dark.

Superpower flips that approach. We give you full insight into your body with over 100 biomarkers, personalized action plans, long-term tracking, and answers to your questions, so you can stay ahead of any health issues.

With physician-reviewed results, CLIA-certified labs, and the option for at-home blood draws, Superpower is designed for people who want clarity, convenience, and real accountability - all in one place.

Key benefits of DHEA Sulfate (DHEA-S) testing

  • Measures your adrenal gland's hormone production to assess overall function.
  • Spots adrenal disorders like Addison's disease or overactive adrenal tumors early.
  • Clarifies unexplained fatigue, low libido, or mood changes tied to hormone imbalance.
  • Flags excess androgen in women causing acne, hair loss, or irregular periods.
  • Guides diagnosis of polycystic ovary syndrome (PCOS) alongside other hormone markers.
  • Tracks adrenal aging and helps explain age-related energy or muscle decline.
  • Supports fertility evaluation by revealing androgen imbalances affecting ovulation or conception.
  • Best interpreted with testosterone, cortisol, and your clinical symptoms for full context.

What is DHEA Sulfate (DHEA-S)?

Your body's most abundant steroid hormone

DHEA sulfate is a modified form of DHEA (dehydroepiandrosterone), a steroid hormone produced almost exclusively by the adrenal glands - two small organs that sit atop your kidneys. The sulfate group attached to DHEA makes it more stable and longer-lasting in the bloodstream, which is why DHEA-S circulates at much higher levels than DHEA itself.

A reservoir for making other hormones

DHEA-S serves as a precursor, meaning your body can convert it into other important hormones, including testosterone and estrogen. This conversion happens in various tissues throughout the body, not just in the adrenal glands. Because of this, DHEA-S acts like a reservoir that tissues can tap into when they need to produce sex hormones locally.

A window into adrenal function

Measuring DHEA-S provides insight into how well your adrenal glands are working. Levels naturally peak in your twenties and decline steadily with age. Because it reflects adrenal hormone production and serves as a building block for sex hormones, DHEA-S helps clinicians assess adrenal health and hormonal balance.

Why is DHEA Sulfate (DHEA-S) important?

DHEA-S is the most abundant circulating hormone in your body, produced primarily by your adrenal glands. It serves as a reservoir for making sex hormones - testosterone and estrogen - and reflects how well your adrenal system is functioning across decades of life. Values naturally peak in your twenties and decline steadily with age, so interpretation always considers where you are in that lifespan arc.

Your adrenal glands may be underperforming

When DHEA-S runs low, it often signals adrenal insufficiency, chronic stress, or premature aging of the adrenal cortex. Women may notice thinning hair, low libido, fatigue, and loss of muscle tone. Men can experience similar energy and mood declines. In children or teens, persistently low levels may delay puberty or signal adrenal disorders.

Excess production points to specific gland problems

Elevated DHEA-S typically indicates overactivity in the adrenal glands, most commonly from benign adrenal tumors or polycystic ovary syndrome in women. High levels can drive acne, excess body hair, irregular periods, and male-pattern hair growth in women. In children, premature puberty or rapid growth may appear.

This marker connects hormones, aging, and resilience

DHEA-S bridges your stress response, reproductive health, immune function, and metabolic vitality. Tracking it over time offers insight into adrenal reserve, hormonal balance, and how your body adapts to aging and physiologic demand.

What do my DHEA Sulfate (DHEA-S) results mean?

Low DHEA-S levels

Low values usually reflect reduced adrenal androgen production, most often due to adrenal insufficiency, chronic stress, aging, or hypopituitarism. DHEA-S declines naturally with age in both sexes, so lower levels in older adults may be physiologic rather than pathologic. In younger individuals, low DHEA-S can signal impaired adrenal reserve, contributing to fatigue, low libido, mood changes, and reduced resilience to stress. Women may notice more pronounced effects on energy and well-being, as the adrenal glands are their primary androgen source.

Optimal DHEA-S levels

Being in range suggests healthy adrenal function and adequate androgen reserve. DHEA-S supports energy production, immune modulation, bone health, and mood stability. Optimal values tend to sit in the mid to upper portion of the age-adjusted reference range, reflecting robust adrenal output without excess.

High DHEA-S levels

High values usually reflect adrenal hyperactivity or androgen-secreting tumors. Common causes include polycystic ovary syndrome (PCOS) in women, congenital adrenal hyperplasia, Cushing syndrome, or adrenal tumors. Elevated DHEA-S may contribute to acne, hirsutism, irregular menstrual cycles in women, and occasionally mood or metabolic disturbances.

Factors that influence DHEA-S

DHEA-S declines sharply with age and varies by sex. Certain medications, including corticosteroids and hormonal contraceptives, can suppress levels. Acute illness or severe stress may transiently lower results.

Method: FDA-cleared clinical laboratory assay performed in CLIA-certified, CAP-accredited laboratories. Used to aid clinician-directed evaluation and monitoring. Not a stand-alone diagnosis.

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Frequently Asked Questions

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How it works
What should I expect during a blood draw?
  • A trained phlebotomist will guide you through the process.
  • A tourniquet is placed on your arm, the site is cleaned, and a small needle is used to collect blood into one or more tubes.
  • Results are usually ready in about a week.
  • Most people feel only a quick pinch.
  • The needle is removed, gentle pressure is applied, and a bandage is placed.
How do I prepare for a blood draw?
  • Drink plenty of water beforehand — hydration makes veins easier to find.
  • Wear loose sleeves so your arm is easy to access.
  • Follow any fasting instructions you’ve been given.
  • Let us know if you’re on medications, have fainted before, or have needle anxiety.
What should I do after my blood draw?
  • Press gently on the site for a few minutes.
  • Keep the bandage on for 4-6 hours.
  • Skip heavy lifting or strenuous exercise for the rest of the day.
  • Drink extra water to rehydrate.
  • Monitor the site for redness, swelling, or pain.
How do I book a blood draw with Superpower?

Your membership includes:

  • An annual full body test and report across 100+ biomarkers
  • A personalized action plan to optimize your biomarkers and reach your health goals
  • A dashboard to centralize your health data and track changes across a lifetime
  • Access to a health concierge for questions on your plan and help scheduling
  • Plus a marketplace of curated health products and services cheaper than amazon

Many concierge clinics charge $10k – $100k for their services, we’ve built technology to make the world’s best healthcare as accessible as possible via an all-in-one membership.

Where can I take my blood test?

Superpower is currently available in the following US states:

  • Alabama
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Our testing
Does Superpower replace my primary care provider?

Superpower specializes in prevention-based testing and treatments and is not intended for emergency or immediate health issues.

While you will have a Superpower care team, your annual membership is designed to complement a primary care doctor if you have one, not replace them.

We are happy to help you share any test results with an outside provider to ensure you receive well-rounded medical care.

How fast are blood test results and how do I read them?

Your annual lab test panel takes about a week to process. We will text you as soon as they become available in your dashboard. Other types of tests may have different testing windows. The Superpower concierge is your own health assistant who helps answer your questions on your results, ensure smooth scheduling, coordination of any office-based tests, specialist referrals as needed, and navigating you to interface with your care team.

Does Superpower accept health insurance?

Superpower membership and products are all eligible for HSA/FSA funding.

We see Superpower like a gym membership for those committed to prevention and performance. Superpower is a bridge between wellness and healthcare. Health insurance traditionally focuses on reactive care whereas, at Superpower, we believe it’s never too early to start looking out for your long-term health.

What if I want more than 1 blood test per year?

Absolutely — you're not limited to just one. Your membership includes one comprehensive 100+ biomarker blood test each year, but if you'd like to track your progress more closely, you can add extra tests at any time. Each additional full-panel test costs $179. You can order as many as you'd like throughout the year.

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Frequently Asked Questions about DHEA Sulfate (DHEA-S) Testing

What is DHEA Sulfate (DHEA-S), and how is it different from DHEA?

DHEA Sulfate (DHEA-S) is the sulfated, more stable form of DHEA (dehydroepiandrosterone), a steroid hormone produced mainly by the adrenal glands. The sulfate group helps DHEA-S last longer in the bloodstream and stay relatively steady throughout the day. Because DHEA can fluctuate more, DHEA-S is often a more reliable lab marker for assessing adrenal hormone production and overall adrenal function.

Why would a doctor order a DHEA-S test to check adrenal gland function?

A DHEA-S test helps measure adrenal androgen production and provides insight into how well your adrenal glands are functioning. It can help flag adrenal disorders early, including adrenal insufficiency (such as Addison’s disease) or adrenal tumors. Because DHEA-S is produced almost exclusively by the adrenal glands and stays stable in blood, it’s a useful marker for evaluating adrenal reserve, stress adaptation, and hormone production capacity.

How does DHEA-S act as a precursor to testosterone and estrogen in the body?

DHEA-S serves as a “reservoir” precursor hormone that the body can convert into sex hormones - especially testosterone and estrogen - based on physiological needs. Since most circulating DHEA-S comes from the adrenal glands, its level reflects how much hormone “raw material” your body has available for downstream sex hormone production. This is why DHEA-S is often evaluated in broader hormone testing and reproductive or metabolic assessments.

What causes low DHEA-S levels, and what symptoms can it explain?

Low DHEA-S usually reflects reduced adrenal androgen output from natural aging, chronic stress, or adrenal insufficiency. Very low values may be seen in Addison’s disease or pituitary-related suppression. Symptoms linked in the context include persistent fatigue, low libido, depressed mood, reduced muscle tone, poorer exercise recovery, and lower stress resilience. Severe illness, malnutrition, and corticosteroid therapy can also suppress DHEA-S and affect interpretation.

What does it mean if my DHEA-S is high, and when should adrenal tumors be considered?

High DHEA-S typically suggests androgen excess from overactive adrenal hormone production. In women, a common cause is polycystic ovary syndrome (PCOS), but adrenal tumors in either sex can also elevate DHEA-S. Congenital adrenal hyperplasia is another possible cause due to steroid enzyme pathway shifts toward androgens. High levels may warrant further evaluation, especially if paired with significant symptoms or abnormal related hormone tests.

How can high DHEA-S contribute to acne, excess hair growth, or irregular periods in women?

Elevated DHEA-S can increase androgen activity and may contribute to acne, hirsutism (excess facial/body hair), irregular menstrual cycles, and scalp hair thinning. The context notes that high DHEA-S often points to PCOS or adrenal-related androgen excess. Because DHEA-S is a precursor for testosterone, higher levels can be associated with higher downstream androgen effects, which commonly show up as skin and cycle-related symptoms.

How is DHEA-S used in diagnosing PCOS alongside other hormone tests?

DHEA-S testing helps assess whether androgen excess is coming from the adrenal glands, which can support a PCOS workup when interpreted alongside other hormones. The context highlights that DHEA-S is best interpreted with testosterone, cortisol, and clinical symptoms. In suspected PCOS, a high DHEA-S may help clarify the hormonal pattern behind irregular periods, acne, or excess hair growth and guide next diagnostic steps.

Why do DHEA-S levels peak in your twenties and decline with age, and how should results be interpreted?

DHEA-S rises during childhood, peaks in the twenties, and then steadily declines across adulthood. Because of this strong age effect, reference ranges vary widely by age and sex, and results should be interpreted using age- and sex-specific ranges. The context notes that “optimal” levels often sit in the mid-to-upper portion of the age-adjusted range, reflecting healthier adrenal reserve and hormonal vitality.

What other labs should be checked with DHEA-S for a complete hormone and stress picture?

The context indicates DHEA-S is best interpreted alongside testosterone, cortisol, and your clinical symptoms. DHEA-S sits at the intersection of stress response and sex hormone production, so pairing it with testosterone can clarify androgen status, while cortisol adds context about stress physiology and adrenal output. Looking at these together can better explain fatigue, libido changes, irregular cycles, acne, or broader metabolic and vitality concerns.

Can medications or illness affect DHEA-S test results and create misleading readings?

Yes. The context notes that severe illness, malnutrition, and corticosteroid therapy can suppress DHEA-S levels, potentially making results appear low even when adrenal function isn’t the only factor. Lab assay methods can also vary slightly between laboratories. Because DHEA-S naturally declines with age and differs by sex, interpretation should always be age- and sex-adjusted and considered together with symptoms and related hormone testing.

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