A Cortisol PM test measures the level of cortisol in the bloodstream during the evening to ensure it remains within a normal range. Cortisol is a hormone released by the adrenal glands, located above the kidneys, in response to signals from the brain’s pituitary gland. Generally, cortisol levels are at their peak in the morning and decline throughout the day, which is why this test is typically performed after 4 p.m. to evaluate evening levels. Cortisol plays a critical role in stress management, blood sugar control, inflammation reduction, blood pressure regulation, and metabolism support. Deviations from normal evening cortisol levels, whether excessively high or unusually low, could suggest problems with the adrenal or pituitary glands or a cortisol-secreting tumour.

Without intervention, such imbalances may lead to serious health issues, making a Cortisol PM test in Mumbai an important step in diagnosing and managing adrenal and pituitary gland dysfunction.

When planning to take the Cortisol PM test in Mumbai, it is important to consider the following aspects:

Prerequisites Fasting is not required before the Cortisol PM test.

Best Time to Get Tested The test is typically conducted in the evening to measure cortisol levels when they are naturally lower in line with the body’s circadian rhythm.

Who Should Get a Cortisol PM Test? This test is often advised for individuals experiencing symptoms of conditions such as Cushing’s or Addison’s disease, which affect cortisol levels.

Cautions Before Taking a Cortisol PM Test No specific preparations are needed for this test. Your doctor will inform you if any additional guidelines are necessary.

A doctor may order a Cortisol PM test for the following reasons:

• Assess Hormonal Balance: The test measures cortisol levels to ensure they fall within the normal range, which is essential for good health.

• Diagnose Adrenal Disorders: This test can detect conditions such as Cushing’s syndrome (elevated cortisol) or Addison’s disease (reduced cortisol), both of which can significantly impact well-being. Symptoms of Cushing’s syndrome may include:

• Weak muscles

• Easy bruising

• Reduced sex drive

• Higher risk of fractures

• Weight gain

• A round, full face

• Thin limbs

• Fat deposits in the neck or shoulders

• Purple streaks on the skin

• Elevated blood pressure

• A red, flushed face

• Slow healing wounds

• Excess hair growth or hair thinning

• Mood changes

• Slowed growth in children

Symptoms of Addison’s disease may include:

• Irritability

• Low blood sugar levels

• Low blood pressure

• Digestive symptoms like nausea, vomiting, or diarrhoea

• Extreme fatigue

• Weak muscles, particularly during physical exertion

• Reduced appetite and salt cravings

• Unintended weight loss

• Abdominal discomfort

• Dehydration

• Skin darkening, especially on the lips, gums, and palms

• Menstrual irregularities

• Monitor Medication Effects: The test helps track the influence of medications on cortisol levels to maintain hormonal balance.