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Human Epididymal Protein 4 (HE4)

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Human Epididymal Protein 4 (HE4)
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Human Epididymal Protein 4 (HE4)

Measures HE4 protein in blood to help detect and monitor ovarian cancer and pelvic masses.

centreCentre Visit
SAMPLE TYPE
Blood
FASTING REQUIRED
No
GENDER
Female
GET REPORTS IN
24 hours
TEST INCLUDED
1
customers
20K+Customers
certified
CertifiedLabs
rating
4.5+Rating
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ProvenAccuracy

What is a Human Epididymal Protein 4 (HE4) Test ?

The Human Epididymal Protein 4 (HE4) test measures the amount of HE4 protein in the blood. HE4 is produced by some reproductive tract and other tissues. It is used as a tumor marker because levels often rise with certain ovarian cancers. The test helps detect and monitor epithelial ovarian cancer. Doctors often use HE4 together with CA-125 and risk calculators to assess a pelvic mass. It also helps track treatment response and check for cancer recurrence. HE4 can be influenced by age, kidney function, and smoking, so clinicians interpret results with other clinical information and tests.

Human Epididymal Protein 4 (HE4) Test Preparation

No special preparation is required.

Human Epididymal Protein 4 (HE4) Test Parameters

The Human Epididymal Protein 4 (HE4) test evaluates various parameters related to the different components. Here are the main parameters that are checked in the test:

  • Single test

Why Take a Human Epididymal Protein 4 (HE4) Test ?

Human Epididymal Protein 4 (HE4) is often included in an ovarian cancer marker panel alongside CA-125 and risk calculators. Doctors may order it for women with pelvic pain, bloating, an ovarian mass on imaging, or unexplained abdominal symptoms. It helps distinguish likely benign from likely malignant masses, monitor treatment response, and detect recurrence. Abnormal results can come from ovarian cancer, some benign conditions, reduced kidney function, smoking, or age. A family history of ovarian or breast cancer can make this test more important.

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Frequently asked questions

For any unanswered questions, reach out to our support team via email. We will assist you as soon as possible

What level of HE4 indicates cancer?plus

HE4 is not diagnostic alone; thresholds vary by assay and menopausal status. Commonly used cutoffs are about 70 pmol/L for premenopausal women and about 140–150 pmol/L for postmenopausal women; values above these raise concern and, with CA‑125 or the ROMA score, increase the likelihood of ovarian cancer. Interpretation requires clinical context and specialist assessment.

Is HE4 human epididymis protein 4?plus

Yes, HE4 is human epididymis protein 4 (gene WFDC2). Initially identified in the epididymis, it is expressed in other tissues and serves as a circulating tumor marker, especially for ovarian cancer diagnosis and monitoring. HE4 is often combined with CA‑125 and risk algorithms; elevated levels can suggest malignancy but require clinical correlation and further testing.

What causes HE4 to be elevated?plus

HE4 (human epididymis protein 4) rises most commonly with epithelial ovarian and endometrial cancers, but can also be elevated in other malignancies. Non-cancer causes include reduced kidney function (impaired clearance), older age, and smoking; levels may also increase with some benign inflammatory or gynecologic conditions. Because renal function and age affect HE4, results are interpreted alongside clinical context and other tests.

What is the function of human epididymis protein 4?plus

Human epididymis protein 4 (HE4), encoded by WFDC2, is a secreted WAP‑domain glycoprotein. It likely functions as a protease inhibitor involved in innate immunity and antimicrobial defense, and may affect tissue remodeling, cell adhesion, proliferation and motility. HE4 is often overexpressed in ovarian and some other tumors and is used clinically as a circulating biomarker to aid detection and monitoring.

What is a level 4 cancer?plus

Level 4 (stage IV) cancer means the disease has spread from its original site to distant organs or lymph nodes, representing advanced metastatic cancer. It's usually not curable but often treatable to control growth, relieve symptoms and extend life. Specific outlook and treatments—systemic therapy, targeted drugs, radiation, surgery, and palliative care—depend on cancer type, location and patient health.

What is a good cancer antigen level?plus

“Good” cancer‑antigen levels depend on the specific marker and lab. Generally, values within the laboratory’s normal reference range are considered reassuring—for example CA‑125 <35 U/mL, CA19‑9 <37 U/mL, CEA <3 ng/mL in non‑smokers (≤5 ng/mL in smokers), and PSA commonly <4 ng/mL (age‑adjusted). Trends over time and clinical context matter more than a single value; discuss results with your clinician.

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Vijay Bisht was friendly, helpful, and made our home test process seamless. Grateful for his timely support and follow-up.

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Partner at Deloitte

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A big thank you to Shikhar from the Visit app for going above and beyond to arrange a last-minute appointment during an urgent situation. His seamless coordination truly made a difference.

Tejas Baxix

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HDFC Life
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A clean facility enhances experience. Quick checkups are a plus. Miss Rinku from Aditya Birla Health Insurance provided excellent service and handled our files well.

Sadaanand Asai

Employee

Deloitte
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“The service was excellent—she was helpful, efficient, and made my recovery smooth and stress-free. Her support made a real difference.”

Ishan Kaul

Manager Administration

Deloitte
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“Thank you, Shared Gupta, for the great support with my reimbursement claims and Wipro health packages. Truly appreciated!”

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Deloitte
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I want to share my feedback on the help I received for my health checkup. I was happy with the guidance and support. Thank you for your assistance; it made the experience stress-free.

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Employee

reserveBank
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Huge shoutout to Shikhar from the Visit app! He has been incredibly supportive during emergencies — always responsive and ready to help. Truly impressed by his dedication and calm efficiency.

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lic
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McKinsey
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Hi Aniket, Annu, Mayur, I appreciate Shikhar's support in organizing clinic appointments for my child at odd hours. It's a sensitive matter for any parent, and I'm thankful for his understanding.

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