Why is Alpha-fetoprotein (AFP) High? Causes, Symptoms, and What to Do

High alpha-fetoprotein (AFP) levels can indicate liver or germ-cell cancers, pregnancy, or liver regeneration. Learn about causes, symptoms, and when to consult a doctor.

Aug 10, 2026 3 min read

Check your result

ng/mL

Calculated in your browser - the number is not sent anywhere.

Alpha-fetoprotein (AFP) is a protein that is normally produced by the liver and yolk sac of a developing fetus. In adults, AFP levels are typically low. However, higher levels of AFP can be a sign of certain medical conditions. Understanding what causes high AFP levels and what they might indicate is important for your health.

What is Alpha-fetoprotein (AFP)?

Alpha-fetoprotein (AFP) is a protein that is commonly measured in blood tests. In adults who are not pregnant, AFP levels are usually very low, typically ranging from 0 to 10 ng/mL. An increase in AFP levels in non-pregnant adults can serve as a tumor marker, indicating the potential presence of liver cancer or germ-cell tumors. Additionally, AFP levels can be elevated in cases of liver regeneration.

Have your own lab results? Upload your report and get a clear, private AI explanation in minutes - free, in English, Russian or Hebrew.
Analyze my results

Causes of High AFP Levels

There are several reasons why AFP levels might be elevated:

  1. Liver Cancer: AFP is often used as a tumor marker for liver cancer. High levels might indicate the presence of hepatocellular carcinoma, a common type of liver cancer.

  2. Germ-cell Tumors: These are cancers that originate from reproductive cells, and high AFP levels can indicate the presence of such tumors, particularly in the testes or ovaries.

  3. Pregnancy: During pregnancy, AFP is naturally elevated as it is produced by the developing fetus.

  4. Liver Regeneration: After liver injury or surgery, the liver might regenerate, leading to temporarily elevated AFP levels.

  5. Other Liver Conditions: Conditions like cirrhosis or hepatitis can also cause elevated AFP levels, although they are less commonly associated with very high levels compared to cancer.

Symptoms Associated with High AFP Levels

High AFP levels themselves do not cause symptoms, but the underlying conditions might. Symptoms can vary widely depending on the cause:

  • Liver Cancer: Symptoms might include abdominal pain, weight loss, jaundice (yellowing of the skin and eyes), and a swollen abdomen.

  • Germ-cell Tumors: Symptoms depend on the tumor's location but may include lumps, pain, or swelling in the affected area.

  • Liver Disease: Symptoms of liver disease can include fatigue, nausea, vomiting, and changes in skin or eye color.

Frequently Asked Questions

What is considered a normal AFP level?

In non-pregnant adults, a normal AFP level is typically less than 10 ng/mL.

Can diet or lifestyle affect AFP levels?

Diet and lifestyle do not directly affect AFP levels. However, maintaining liver health through a balanced diet and avoiding excessive alcohol can support overall liver function.

How is high AFP diagnosed?

High AFP is diagnosed through a blood test. If levels are elevated, further tests may be conducted to determine the underlying cause.

Is high AFP always a sign of cancer?

No, high AFP is not always indicative of cancer. It can also be elevated during pregnancy, liver regeneration, or due to other liver conditions.

When to see a doctor

If you have received a test result showing high AFP levels, it is important to consult with a healthcare provider. They can help determine the underlying cause of the elevated levels and recommend appropriate follow-up testing or treatment. If you experience symptoms such as unexplained weight loss, abdominal pain, or jaundice, seek medical advice promptly.

Understanding your AFP levels and what they might mean is important, but decisions about your health should always be made in consultation with your healthcare provider.

Alpha-fetoprotein (AFP): more on this topic

Test page What it measures, normal range, what moves it

Often checked together

Read this in another language

Have your own lab results? Upload your report and get a clear, private AI explanation in minutes - free, in English, Russian or Hebrew.
Analyze my results