Packed Cell volume | Complete Blood Count | Red Blood Cells

PCV Blood Test: What You Need to Know

Time to read 7 min

Red blood cells carry oxygen to each body part and vital organs. The packed cell volume test, known as Packed Cell Volume (PCV), examines the proportions of red blood cells in your bloodstream. It allows medical professionals to evaluate your body's oxygen-carrying capacity, which helps detect potential abnormalities or imbalances. PCV test is also called the hematocrit test.

What is the PCV Blood Test?

PCV test is a routine blood test that allows early detection and prevention of certain blood-related disorders, allowing timely medical intervention.


PCV blood test can identify the conditions, including:

  • Dehydration is caused due to inadequate fluid intake and excessive fluid loss from the body.
  • Anaemia is caused due to low hemoglobin levels or reduced size or amount of red blood cells.
  • Polycythemia is caused due to an abnormal increase in red blood cell production in the bone marrow.

Importance of PCV in Health Assessments

The PCV test is a serological test that presents a complete evaluation of red blood cell percentage. The test is performed to measure the blood volume and oxygen-carrying capacity of red blood cells. Generally, a PCV test is ordered along with the full blood count test to provide comprehensive health insights. PCV or hematocrit is a vital blood test that assesses the proportion of red blood cells in blood, offering valuable insights into complete health, allowing the diagnosis of certain health conditions.


  • Evaluating the efficiency of treatments for medical conditions that interfere with red blood cells.
  • Assessing the body’s response to intervention, including the influence of blood transfusions.
  • Understanding the complete health and potential risk of developing red blood cell-associated conditions.

Understanding PCV and Hematocrit

Packed Cell Volume (PCV) and Hematocrit (HCT) tests are the same, both referring to the red blood cell percentage in a blood sample. Both are expressed as percentages. HCT is determined through the centrifugation of a blood sample that separates the red blood cells from the plasma and measures the volume of packed red blood cells as a percentage of total blood volume. PCV is just another name for hematocrit and is determined by the same method as HCT.

Role of PCV in Blood Tests

The PCV test determines the proportion of red blood cells in your blood sample and expresses it as a percentage. Red blood cells carry oxygen to all parts of the body, and PCV helps analyze the body’s ability to carry and transport oxygen. Abnormal PCV levels indicate various conditions such as dehydration, anemia, and polycythemia. PCV tests can also help monitor the efficiency of treatments for certain blood disorders and assess the necessity for blood transfusions.

PCV Blood Test Explained

The blood sample collection for a PCV blood test involves collecting a blood sample, which is sent to the laboratory for testing. In the laboratory, centrifugation is done, and the blood cells settle at the bottom of the test tube, and the plasma rises to the top. The percentage of red blood cells in a blood sample is determined by measuring the height of the RBCs packed at the bottom. PCV blood test presents a thorough assessment of your health and risk of certain medical conditions.

Why do Doctors Order a PCV or Hematocrit Test?

Typically, the PCV test is a part of the CBC or Complete Blood Count Test or ordered during the routine blood tests. It is primarily recommended to diagnose and monitor certain health conditions, including anemia, polycythemia, and dehydration. A healthcare professional may also recommend a PCV test to evaluate the effectiveness of treatments associated with blood conditions such as Anemia.

PCV in Blood Reports: What it Tells You

PCV or Hematocrit test assesses the percentage of red blood cells in your blood sample, allowing the diagnosis of certain medical conditions. It is the ratio of the volume of packed red blood cells to the total blood volume expressed as a percentage.

Low PCV:

Low PCV levels indicate anemia, blood loss, insufficient production of red blood cells, or destruction of red blood cells.

High PCV:

High PCV levels indicate polycythemia, dehydration, certain blood disorders, or living at high altitudes.

PCV Normal Range

If the PCV test shows a reading of 50%, it demonstrates that in 100 ml of blood, red blood cells occupy 50 ml by volume. The exact PCV normal range depends on various factors, including gender, age, and race. The normal range of PCV for men is between 38.3% to 48.6%, while for women it is between 35.55% to 44.95 and for children (15 years and below) it is between 30% to 44%. Moreover, the standard percentage of red blood cells may slightly differ among different medical practices. Any decrease or increase in this reading may signify various health concerns, which can be chronic.


  • PCV normal range for males: 38-52%
  • PCV normal range for females: 34-58%
  • Low PCV: less than 35.5 %
  • Normal PCV: 35.5-48.6%
  • High PCV: more than 48.6%

Factors that can Influence PCV Levels

  • The accuracy of PCV test results can be influenced by certain factors.
  • Pregnancy
  • Dehydration
  • History of blood transfusion
  • Blood loss due to injury or trauma
  • Living in higher altitudes
  • Blood donation

Low PCV Levels

Low PCV levels may indicate an underlying health condition or certain health conditions. Commonly low PCL levels are associated with blood loss and anemia. Anemia can be caused by various conditions such as chronic illness, vitamin deficiency, or mineral deficiency. Blood loss may be because of surgery, trauma, or chronic conditions, including menstrual disorders or gastrointestinal bleeding.


Low PCV levels can be associated with:

  • Vitamin B12 deficiency
  • Mineral deficiency
  • Kidney disorders
  • Hemolysis
  • Inflammatory diseases

Causes of low PCV

Some common reasons for low PCV levels in blood are:

  • Nutritional deficiencies (Vitamin B12, folate and other nutrients)
  • Bone marrow disorders (leukemia, aplastic anemia, or myelodysplastic syndromes
  • Chronic diseases (liver disease, kidney disease, and autoimmune disease)
  • Hormonal imbalances (hormonal imbalances and hypothyroidism)
  • Pregnancy
  • Hemolytic anemia
  • Blood loss (chronic bleeding, heavy menstrual bleeding)

Symptoms Associated with Low PCV

  • Fatigue
  • Shortness of breath
  • Weakness
  • Pale skin
  • Dizziness
  • Headaches
  • Difficulty concentrating
  • Irritability

High PCV Levels

High PCV levels in the blood are associated with dehydration or polycythemia. Dehydration is described by a deficiency or loss of bodily fluids, which can be caused by various factors such as certain medications or insufficient fluid intake. Polycythemia occurs due to an excess of red blood cells in the normal PCV range. It may occur because of various reasons ,such as smoking and genetics. A person with polycythemia possesses an increased risk of blood clots, stroke, and other complications. High PCV is also associated with lung disease and can contribute to high blood pressure.

Causes of High Hematocrit (PCV)

A high PCV can be caused by several factors, including:

  • Polycythemia vera (bone marrow disorder)
  • Smoking (raises RBC production)
  • Genetic disorders
  • High altitudes
  • Certain medications (erythropoietin and anabolic steroids)
  • Severe burns (fluid loss from blood vessels)

Polycythemia and Its Connection to High PCV

Polycythemia or erythrocytosis occurs when RBC production increases. Polycythemia particularly polycythemia vera is a medical condition where the bone marrow produces too many red blood cells contributing to a high PCV that can lead to complications such as increased blood viscosity and blood clots.


Symptoms of Polycythemia vera include fatigue, headaches, dizziness, weakness, enlarged spleen, itchy skin, gastrointestinal issues, greater risk of blood clot formation, and burning sensation in distal extremities.

Consequences Associated With High PCV

  • Hyperviscosity (blood thickening that makes blood harder to flow through blood vessels.
  • Thrombosis (thickened blood may increase the risk of blood clots)
  • Enlarged spleen
  • Peptic ulcers
  • Other blood disorders

Concluding Words

A PCV test, also known as the Hematocrit test, is a routine blood test performed to assess the amount of RBCs in a blood sample. The test can help diagnose certain blood disorders for the overall health screening of patients. Understanding the PCV test and its normal range is essential for evaluating various health conditions. It presents valuable insights into overall health, allowing the diagnosis of anemia, dehydration, and polycythemia. 


If your PCV result is below or above the normal range, you should check with your healthcare provider. Abnormal PCV levels indicate various health conditions. Your doctor will discuss your PCV test results, review your medical history, and recommend further tests to identify the underlying causes and plan the precise treatment.

Frequently Asked Questions

What does the PCV test measure?

The PCV test measures the ratio of red blood cell volume to the total volume occupied by blood.

How to prepare for the PCV test?

Usually, there are no dietary restrictions or any other preparatory guidelines for PCV blood tests as it is part of routine blood work.

What does a low PCV mean?

Low PCV levels indicate various health conditions including anemia, vitamin deficiencies, or mineral deficiencies. However, additional diagnostic tests may be recommended depending on the test results and symptoms, especially since plasma volume naturally increases in certain situations.

What does a high PCV level indicate?

High PCV levels in the blood indicate blood disorders, including polycythemia.

How can you reduce PCV in blood?

Drinking plenty of water can dilute the blood concentration and reduce PCV levels. Pregnancy can also reduce PCV in the blood.

Is high PCV in the blood associated with chest pain?

Yes, high PCV can cause chest pain due to increased blood viscosity as it raises RBC concentration and puts tension on the cardiovascular system, sometimes necessitating pain relief medications. It can lead to angina or a heart attack.

***Medical Disclaimer: All the information provided here is for educational purposes only. Any information provided on this website, including text, images, and graphics, is not intended as a substitute for professional medical advice. Kindly visit your healthcare provider concerning your particular health condition(s).

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