Dehydroepiandrosterone is a 17-Ketosteroid produced primarily by the adrenal gland by side chain cleavage of 17-Hydroxy Pregnenolone. It is reversibly converted to Dehydroepiandrosterone-Sulfate and Androstenediol. It is also converted to Androstenedione. It is excreted in the urine as Sulfate and Glucuronide conjugates and unconjugated (Free) forms.
Free DHEA urine is excreted into the urine primarily from Free (unbound) blood DHEA. DHEA urine is one of the first androgens to increase significantly at the onset of adrenache. Levels increase throughout puberty until adulthood. In females, levels drop off sharply after menopause. DHEA may distinguish adrenal causes of overandrogenization from gonadal causes.
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