What Is Hematocrit (HCT) in a Blood Test?

Hematocrit (HCT) measures the percentage of your blood volume made up of red blood cells. If your HCT is 45%, that means 45% of your blood is red cells.

Normal Ranges

  • Men: 38.8–50.0%
  • Women: 34.9–44.5%
  • Roughly 3× hemoglobin value (Hgb 15 ≈ HCT 45%)

Low Hematocrit Causes

  • Anemia — any cause
  • Blood loss
  • Pregnancy — plasma expansion dilutes red cells
  • Bone marrow suppression
  • Nutritional deficiencies

High Hematocrit Causes

  • Dehydration — plasma decreases, red cells concentrate
  • Chronic lung disease
  • High altitude
  • Smoking
  • Polycythemia vera
  • Testosterone use

Key Relationship

  • HCT ≈ 3 × Hemoglobin
  • Significant discrepancy suggests lab error or abnormal red cell condition
Source: NLM MedlinePlus, American Association for Clinical Chemistry.

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