Dear Ma am, Hi & Welcome. I can understand your concern. The normal ESR for women under 50 years old is less than 20 mm/ Ist hr. It doesn’t diagnose one specific condition. Raised EST is associated with autoimmune disorders ( such as rheumatoid arthritis or systemic lupus erythematosus), chronic infection (like tuberculosis), anemia, thyroid disease, certain medications or cancer. A single elevated ESR, without any symptoms of a specific disease, will usually not give enough information to make a medical decision. If you have any associated symptoms you need to be properly evaluated by a physician to rule out the above listed common conditions. Hope this answers your query. A feed back is appreciated if you are convinced.