Why is DHEA-Sulfate (DHEA-S) Low? Causes, Symptoms, and What to Do

Learn about low DHEA-Sulfate levels, their causes, symptoms, and when to consult a doctor.

Aug 6, 2026 2 min read

Dehydroepiandrosterone sulfate (DHEA-S) is a hormone produced by the adrenal glands, which are located on top of your kidneys. It plays a crucial role in the production of male and female sex hormones, such as testosterone and estrogen. Understanding what low levels of DHEA-S mean can help you and your healthcare provider make informed decisions about your health.

What is DHEA-Sulfate (DHEA-S)?

DHEA-S is a derivative of dehydroepiandrosterone (DHEA), a hormone that is converted into other hormones like testosterone and estrogen. DHEA-S is mainly produced by the adrenal glands and is found in the bloodstream. It is a stable form of DHEA, making it a useful marker for assessing adrenal gland function.

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Why DHEA-S Levels Matter

DHEA-S levels can give insights into the health of your adrenal glands and overall hormone balance. Low levels of DHEA-S may indicate issues with adrenal function or other health conditions. Since DHEA-S influences the production of sex hormones, imbalances can affect a variety of bodily functions and overall well-being.

Causes of Low DHEA-S Levels

Low DHEA-S levels can result from several factors:

  • Age: DHEA-S levels peak in your 20s and gradually decline as you age. By your 70s, levels may drop to approximately 30-50 μg/dL.
  • Adrenal insufficiency: This condition occurs when the adrenal glands do not produce enough hormones, including DHEA-S.
  • Chronic stress: Prolonged stress can impact adrenal gland function, potentially leading to decreased DHEA-S production.
  • Certain medications: Some medications, such as corticosteroids, can lower DHEA-S levels.

Symptoms of Low DHEA-S Levels

Symptoms of low DHEA-S levels can vary depending on the underlying cause but may include:

  • Fatigue
  • Decreased libido
  • Mood changes, such as depression or anxiety
  • Muscle weakness
  • Unexplained weight gain

How to Interpret DHEA-S Test Results

DHEA-S levels are measured in micrograms per deciliter (μg/dL). The reference range for DHEA-S levels varies depending on age and sex. For example, levels peak in your 20s and decline with age, reaching approximately 30-50 μg/dL by your 70s. It's important to discuss your specific results with your healthcare provider to understand what they mean for you.

Frequently asked questions

What should I do if my DHEA-S levels are low? Consult your healthcare provider to determine the underlying cause of low DHEA-S levels and discuss potential treatment options.

Can lifestyle changes improve DHEA-S levels? Yes, managing stress, maintaining a healthy diet, and regular exercise may help improve adrenal function and DHEA-S levels.

Are there supplements available for low DHEA-S? DHEA supplements are available, but it's essential to consult your healthcare provider before starting any supplementation.

When to see a doctor

If you experience symptoms such as persistent fatigue, mood changes, or decreased libido, it may be worth discussing your symptoms with a healthcare provider. They can help determine if a DHEA-S test is appropriate and guide you on the next steps based on your results.

Decisions about your health should always be made in consultation with your healthcare provider.

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