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Unconjugated Estriol

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Blood
This test is for
Female

Understanding Unconjugated Estriol


What is Unconjugated Estriol?

The Unconjugated Estriol test is a blood test used to measure the levels of the unconjugated estriol, a hormone produced by the placenta during pregnancy. It helps assess the well-being of the fetus and monitor pregnancy health.

The Unconjugated Estriol test is often done as a part of the triple or quadruple screening test conducted during the second trimester of pregnancy. This test analyzes a specific marker called unconjugated estriol (uE3), a form of estrogen produced by the placenta. Estriol plays an important role in maintaining pregnancy by supporting the growth and development of the unborn child. 

By measuring the levels of unconjugated estriol, doctors can assess the unborn child's well-being and the overall pregnancy. Abnormal levels of unconjugated estriol may indicate certain fetal abnormalities or complications such as Down syndrome (trisomy 21), trisomy 18, or other chromosomal abnormalities. Timely detection of these abnormalities is vital for ensuring comprehensive prenatal care and effectively addressing potential health problems.

The Unconjugated Estriol test is a screening test, and any abnormal result does not necessarily mean that the unborn baby has a birth defect or genetic condition. It only tells whether the unborn baby is at risk of developing certain abnormalities, and further testing is required to confirm the diagnosis. The recommendation of the Unconjugated Estriol test is often based on maternal age, medical history, and individual risk factors for chromosomal abnormalities. Pregnant women should consult their doctor to determine the most appropriate screening or diagnostic test based on their specific conditions.

No special preparation is required before undergoing the Unconjugated Estriol test. However, a woman must be prepared to provide informed consent before undertaking this test. The laboratory personnel will explain this test's purpose, benefits, and limitations.

Abnormal lab test results represent only the risk but not the diagnostic outcomes. Increased risk does not mean the baby is affected; further tests must be performed before a confirmed diagnosis can be made. Talk to your doctor about your specific test results. The results of the Unconjugated Estriol test and a woman's clinical symptoms and other factors can help doctors detect and manage pregnancy-related abnormalities and make informed decisions regarding further testing or interventions.

What is Unconjugated Estriol used for?

The Unconjugated Estriol test is done:

  • As a part of prenatal screening (triple marker and quadruple marker tests) to assess the health of the unborn baby.  

  • To assess the risk of certain chromosomal abnormalities in the developing baby, such as Down Syndrome (Trisomy 21), Edwards Syndrome (Trisomy 18), etc.

  • As part of risk stratification for pregnancy complications such as miscarriage.

What does Unconjugated Estriol measure?

The Unconjugated Estriol test is used to measure Unconjugated Estriol (uE3), a type of estrogen that is particularly significant during pregnancy. It is produced by both the fetus and the placenta. The levels of uE3 in the mother's blood can give insights into the baby's well-being and can be crucial for identifying certain risks and complications in pregnancy.

References

  1. David M, Merksamer R, Israel N, Dar H. Unconjugated estriol as maternal serum marker for the detection of Down syndrome pregnancies. Fetal Diagn Ther. 1996 Mar-Apr;11(2):99-105. [Accessed 26 Apr. 2024]. Available from: https://pubmed.ncbi.nlm.nih.gov/8838765/ External Link
  2. Wald NJ, Cuckle HS, Densem JW, Nanchahal K, Canick JA, Haddow JE, Knight GJ, Palomaki GE. Maternal serum unconjugated oestriol as an antenatal screening test for Down's syndrome. Br J Obstet Gynaecol. 1988 Apr;95(4):334-41. [Accessed 26 Apr. 2024]. Available from: https://pubmed.ncbi.nlm.nih.gov/2454652/ External Link
  3. Minsart AF, Van Onderbergen A, Jacques F, Kurt C, Gillerot Y. Indication of prenatal diagnosis in pregnancies complicated by undetectable second-trimester maternal serum estriol levels. J Prenat Med. 2008 Jul;2(3):27-30. PMID: 22439024; PMCID: PMC3279090. [Accessed 26 Apr. 2024]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279090/ External Link
  4. Sablok A, Sharma A, Ahmed CS, Kaul A. Performance of second-trimester maternal biochemistry screening (quadruple test vs. triple test) for trisomy 21: An Indian experience. Indian J Med Res. 2021 May;154(5):716-722. [Accessed 26 Apr. 2024]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9210531/ External Link
  5. Gordon S, Umandap C, Langaker MD. Prenatal Genetic Screening. [Updated 2023 Jan 16]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557702/ External Link
  6. Güdücü N, Görmüş U, Güner Eİ, Güzel O, Kavak ZN. Quadruple test parameters in art pregnancies. Int J Clin Exp Med. 2014 Aug 15;7(8):2319-23. PMID: 25232428; PMCID: PMC4161588. [Accessed 26 Apr. 2024]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4161588/ External Link
  7. Commit to Healthy Choices to Help Prevent Birth Defects [Internet]. CDC; 28 June 2023 [Accessed 26 Apr. 2024]. Available from: https://www.cdc.gov/ncbddd/birthdefects/prevention.html External Link

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