CA125 blood test

Find out what the CA125 blood test is, when you might have one and what the results can tell you.

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What is the CA125 blood test?

CA125 is a protein that’s found in your blood. Ovarian cancer, as well as other conditions, can sometimes raise the level of CA125 in your blood.

During a CA125 blood test, a small sample of your blood will be taken and sent to a laboratory to measure the level of the CA125 protein. 

As well as helping to diagnose or rule out ovarian cancer, CA125 blood tests are sometimes used to monitor the treatment of ovarian cancer or check for signs of recurrence (the cancer returning).

For more information about the CA125 blood test, speak to one of our nurse advisers by contacting our support line on 0808 802 6000 (freephone) or speak to your GP.

When should I request a CA125 blood test?

If you have symptoms of ovarian cancer, you should ask your GP about having a CA125 blood test. The CA125 blood test is a useful way to gather some more information and will help your GP decide what to do next. 

The main symptoms of ovarian cancer are:  

  • persistent bloating (pooing more or less often than normal)    
  • feeling full quickly and/or loss of appetite  
  • pain in your tummy or pelvis (the area between your hip bones)  
  • needing to wee more urgently or more often than usual. 

Sometimes there can be other symptoms:

  • diarrhoea or constipation (a change in your bowel habit)  
  • fatigue (feeling very tired)  
  • losing weight without trying  
  • unusual vaginal bleeding before the menopause or any vaginal bleeding after the menopause. 

Contact your GP surgery if you have one or more of these symptoms and they don’t go away or happen frequently (such as more than 12 times a month or 3 times a week).  

Tell your GP if one or more relative in your close family has had cancer especially if the cancer affected your mother, father, brother or sister. This is because ovarian cancer can run in families.

How should I prepare for a CA125 blood test?

If your blood is only being tested for CA125, you can eat and drink normally before the test and resume your normal activity straight afterwards.

Your GP may suggest that you delay the test if you're on your period as it may affect the result.

What is a normal CA125 level?

Until recently, no matter how old you are, a CA125 level less than 35 units per millilitre (u/ml) was considered normal. A CA125 level over 35 u/ml meant you should be sent for more tests.

In April 2026 the National Institute for Health and Care Excellence (NICE) updated its guidance on CA125 levels depending on someone’s age. That’s because research has shown that the CA125 test is less accurate for detecting ovarian cancer in younger women and that different age groups tend to have different levels of CA125 in their blood. 

What our video below to learn more about the CA125 blood test and what the results might mean.
(This video was created before NICE updated the CA125 levels by age for England, Wales and Northern Ireland. Find out your age threshold below). 

If you live in England, Wales or Northern Ireland and your CA125 level is higher than the level set for your age group, your doctor should send you for further tests like an ultrasound scan.

This table shows the different CA125 levels for each age group:

Age group (years)CA125 level (u/ml)
40 to 4935
50 to 5931
60 to 6924
70 to 7925
80+31

If you’re 39 years old or younger, your GP should consider an urgent ultrasound scan. They may also recommend a CA125 blood test but they shouldn’t use it as the only test. 

If you live in Scotland, your doctor should send you for a CA125 blood test and ultrasound scan at the same time, no matter what age you are.  

Image of testing for ovarian cancer information booklet

Testing for ovarian cancer

This booklet explains what a CA125 blood test and ultrasound scan is and how they're used to help rule out or diagnose ovarian cancer.

Next steps

How do I get my test result?

Your GP will let you know how long your test result should take to come back from the laboratory, and they will also tell you how to find out the result of your test. You can register for online access to your medical record at your GP surgery. You can also do this on the NHS app. Ask your surgery if this is how you would like to access your results.   

If you don’t hear anything within two weeks, give your GP a call. If you've received your test results and you're not sure what they mean contact your GP and ask them to explain.  

If your test result is high your GP will arrange further tests or a follow-up appointment.

 What if have a high CA125 level?

A raised CA125 level doesn’t mean you definitely have ovarian cancer. The level of CA125 in your blood can be high for other reasons, including conditions such as endometriosis, uterine fibroids, rheumatoid arthritis and ovarian cysts. Being on your period can also slightly raise the level. Some women have a naturally high level of CA125 in their blood.  

A CA125 test on its own isn’t enough to diagnose ovarian cancer. If your CA125 level is high, your GP should arrange an ultrasound scan of your abdomen and pelvis (the area from your tummy to the top of your thighs). The scan will look at your ovaries so that they can be checked for anything unusual. An ultrasound scan is usually done on an urgent basis to rule out whether your symptoms and raised CA125 level could be due to ovarian cancer.

What if I have a normal CA125 level but my symptoms continue?

It is possible to have ovarian cancer with a normal CA125 level. If your CA125 level is not high, but your symptoms continue or get worse go back to your GP within a month and ask whether you need an ultrasound scan. This is because sometimes ovarian cancer doesn’t cause a raised CA125 level and an ultrasound scan is needed to check the ovaries. Your GP may also ask for a repeat CA125 blood test.

  • Why not keep a symptoms diary? Make a quick note every day of each symptom. This might help your GP to identify the cause of your symptoms.
  • For more information on how to make the most of your GP appointment, see our top tips for speaking to your GP
  • If you have further questions after reading this information, please speak to your GP or call our support line on 0808 802 6000 (freephone).

Last reviewed: June 2026

Next review: June 2029

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References

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