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CRP in women: the pill, hormone therapy and autoimmune diseases

The liver makes C-reactive protein (CRP) and according to the NVKC releases it into the bloodstream, where the amount rises sharply within 6 to 8 hours in an inflammation. According to the NVKC, CRP thus works as a general signal substance for inflammation.

According to the NVKC, a raised amount of CRP in the blood can point to an acute inflammation, but the test is not specific enough to show the cause. Whether CRP is raised only shows in a blood test.

At Star-SHL, the reference value of CRP lies between 0 and 10 mg/l.

Doctor's Assessment Included

CRP is a protein made by the liver that rises sharply in the blood within 6 to 8 hours of the start of an inflammation. The upper limit differs by laboratory: 5 mg/l at Unilabs and Certe, 6 at Diagnostiek voor U and 10 at Star-SHL.

  • A raised CRP can point to an inflammation or infection, but does not show where it is or what causes it.
  • Once an inflammation subsides, CRP can fall quickly: its half-life is about 19 hours, which makes recovery easy to follow with CRP.
  • A normal CRP does not rule out an infection that has just started, because CRP only rises above 5 mg/l about 6 hours after an inflammation begins.

Reference Ranges

Female
mg/l
Normal < 10 High

Reference ranges may vary between laboratories. When you order a test, a BIG-registered doctor assesses your personal results in context. For treatment decisions, discuss your results with your GP.

Check your own value

CRP (C-Reactive Protein): what Dutch laboratories use

The upper limit runs from 5 mg/l at Unilabs to 10 mg/l at Star-shl.

Reference ranges by group, in mg/l
Star-shl · Everyone 0–10 mg/l
0 10
Unilabs · Everyone 0–5 mg/l
0 5
Certe · Everyone · 18 years and older · a limit, not a range < 5 mg/L
5
Diagnostiek voor U · Everyone · a limit, not a range < 6 mg/L
6
0 11 mg/l

Source: Star-shl

Source: Unilabs

Source: Certe

Source: Diagnostiek voor U

Each value as the laboratory itself publishes it, retrieved in 2026.

CRP (C-Reactive Protein): what this test measures

In milligrams per litre (mg/l), the CRP test shows how much C-reactive protein is in the blood, and according to the NVKC that amount can climb up to a factor of 1000 in an inflammation.

CRP (C-Reactive Protein): why this value matters

According to a 2003 review, the baseline CRP, the CRP value without inflammation, is significantly higher with use of the contraceptive pill and of hormone therapy as tablets after menopause, without any sign of tissue-damaging inflammation. According to that review, hormone therapy through the skin after menopause was not associated with a significantly higher baseline CRP.

CRP (C-Reactive Protein): how the blood test works

Referral
No GP referral needed. After the order we arrange the referral through ZorgDomein, within one business day; orders after 17:00 or at the weekend start on the next business day. ZorgDomein emails a barcode, and that barcode is what the draw site needs.
The draw
A blood draw from a vein in the arm, at a partner laboratory's draw site. No home kit, no finger prick.
Where
650+ draw sites run by independent laboratories across the Netherlands. Draw sites

CRP (C-Reactive Protein): how to prepare

  1. Been ill? Wait a little

    Required

    Had a fever, an infection or a vaccination in the past 2 weeks? Wait with the draw until you are fully recovered. These values react to inflammation and would give a distorted picture.

  2. Better no hard training beforehand

    Recommended

    Hard exercise in the 48 hours before can raise this value temporarily. Plan the draw on a rest day if you can.

  • Water is always fine. Drink as usual beforehand, it makes the draw easier.
  • Take your usual medication, unless your own doctor told you otherwise.

CRP (C-Reactive Protein): when is testing worthwhile?

According to the NVKC, a CRP test is used to gain more insight into inflammatory diseases, for example in some forms of rheumatism or autoimmune diseases.

CRP (C-Reactive Protein): symptoms of a high or low value

Low Levels

A low CRP is normal at Star-SHL, because Star-SHL gives 0 mg/l as the lower limit, and according to the NVKC the CRP value in healthy people without inflammation is usually below 10 mg/l.

High Levels

According to a 2003 review, rheumatoid arthritis and haemodialysis for end-stage kidney failure are chronic inflammatory conditions in which some patients have a persistently raised CRP.

CRP (C-Reactive Protein): causes of a low or high value

What lowers the value

  • Liver failure

    The liver makes CRP, and in liver failure less CRP is produced.

  • Statins

    Statins, cholesterol-lowering medicines, lower CRP, separately from their effect on cholesterol.

What raises the value

  • Infection or acute inflammation

    A raised or rising CRP can point to acute inflammation or infection.

  • Dead tissue

    Dead tissue is a strong trigger for CRP; a heart attack is followed by a large CRP response.

  • Chronic inflammatory disease

    In some people with a chronic inflammatory disease such as rheumatoid arthritis, CRP stays raised; lupus (SLE), an autoimmune disease, does not cause a large CRP rise despite clear inflammation.

  • Overweight

    A higher BMI goes with a higher baseline CRP, the CRP value without inflammation, and weight loss lowers it.

  • The pill and hormone tablets

    The contraceptive pill and hormone therapy taken as tablets after menopause go with a higher CRP without inflammation; hormone therapy through the skin does not.

CRP (C-Reactive Protein): lifestyle and this value

Discuss a raised CRP with your GP; anyone using the pill or hormone therapy as tablets after menopause can mention it, because according to a 2003 review these go together with a higher baseline CRP.

CRP (C-Reactive Protein): frequently asked questions

Does hormone therapy through the skin after menopause go together with a significantly higher baseline CRP?

No, according to a 2003 review, hormone therapy through the skin after menopause is not associated with a significantly higher baseline CRP, while hormone therapy as tablets after menopause is.

Is CRP always high in an autoimmune disease?

No, according to a 2003 review, lupus (systemic lupus erythematosus) does not cause a large CRP rise despite clear inflammation and tissue damage.

CRP (C-Reactive Protein): sources

  1. Star-shl, Labbepalingen (referentiewaarden per bepaling), star-shl.nl, geraadpleegd 2026-10-01 (retrieved 2026) star-shl.nl
  2. Unilabs, Bepalingenklapper (referentiewaarden per bepaling), bepalingenklapper.nl, geraadpleegd 2026-10-01 (retrieved 2026) bepalingenklapper.nl
  3. Certe, Bepalingenwijzer (referentiewaarden per bepaling), bepalingenwijzer.certe.nl, geraadpleegd 2026-10-01 (retrieved 2026) bepalingenwijzer.certe.nl
  4. Diagnostiek voor U, eLabgids (Referentiewaarden DvU), diagnostiek.getincontrol.eu, geraadpleegd 2026-10-01 (retrieved 2026) diagnostiek.getincontrol.eu
  5. Pepys MB, Hirschfield GM. C-reactive protein: a critical update. J Clin Invest 2003;111(12):1805-1812. (retrieved 2026) pmc.ncbi.nlm.nih.gov
  6. NVKC, Alles over testen: CRP, allesovertesten.nl, geraadpleegd 2026-10-06 (retrieved 2026) allesovertesten.nl

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CRP (C-Reactive Protein)

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