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. Author manuscript; available in PMC: 2022 Apr 1.
Published in final edited form as: Gynecol Oncol. 2021 Jan 24;161(1):282–290. doi: 10.1016/j.ygyno.2021.01.011

Table 4.

Studies supporting effects of baseline and reproductive factors on HE4 and CA125 levels in healthy women.

FEATURE Findings HE4 REF Findings CA125 REF
Age Progressive increase with age [16, 17, 21, 22] Lower in younger and older women [24]
Body Mass Decreases with greater body mass with a similar trend seen here [16] Decreases with greater body mass as seen here [13]
Race No differences in limited data as seen here [26, 27] Lower in non-white as seen here [13, 14, 26]
Smoking Greater in current smokers as seen here [16, 21, 22, 25, 26] Lower in current smokers; higher in former smokers as trends seen here [13, 14, 25]
Age at Menarche Increased with later age not seen here [27] Increased with later age not seen here [14]
Current OC use Lower as seen here [28] Lower as seen here [29]
Duration OC use Lower with contraceptive use not seen here [23] Lower with longer OC use as seen here in premenopausal women [29]
Currently Pregnant Lower, not significant here [17] Higher as seen here [30]
Number of pregnancies Lower with increasing number in postmenopausal women not seen here [25] Higher with more pregnancies, similar to a non-significant trend seen here [15, 25]
Hysterectomy No apparent effect as seen here [25] Lower as seen here (only in pre-menopausal women) [13, 14, 25]
Genital Talc use Higher of borderline significance significant as seen here [27] Significantly higher not seen here [27]
Menopausal status Higher in PM women, likely due to age alone [21] Lower after menopause as seen here except in women 75 or older lower [25]
Age at menopause Lower with older age not seen here [25] Lower in women with early menopause [13, 14, 25]
HRT use No apparent effect while lower level seen here with estrogen-only ERT [25] Lower with HRT use not seen here [25]
C-Reactive Protein No data found No data found
Homocysteine No data found No data found
Creatinine Positively correlated [16] No data found