Workplace Testing

Stress can raise your cortisol levels, so you may need to rest before your test. A blood test will require you to schedule two appointments at different times of the day. Twenty-four hour urine and saliva tests are done at home. Be sure to follow all the instructions given by your provider.

There is very little risk to having a blood test. You may have slight pain or bruising at the spot where the needle was put in, but most symptoms go away quickly. There are no known risks to a urine or saliva test.

High levels of cortisol may mean you have Cushing's syndrome, while low levels may mean you have Addison disease or another type of adrenal disease. If your cortisol results are not normal, it doesn't necessarily mean you have a medical condition needing treatment. Other factors, including infection, stress, and pregnancy can affect your results. Birth control pills and other medicines can also affect your cortisol levels. To learn what your results mean, talk to your health care provider.

If your cortisol levels are not normal, your health care provider will likely order more tests before making a diagnosis. These tests may include additional blood and urine tests and imaging tests, such as CT (computerized tomography) and MRI (magnetic resonance imaging) scans, which allow your provider to look at your adrenal and pituitary glands.