Testosterone Free Report Format

Pathology
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What is the Free Testosterone Test?

The free testosterone test measures the portion of testosterone in the bloodstream that is not bound to proteins like SHBG or albumin. It reflects the biologically active form that can be used by tissues.

What is a Free Testosterone Report Format?

A free testosterone report provides a precise value of unbound testosterone in the blood, helping evaluate androgen status, sexual function, fertility, or hormonal imbalances.

Tests Included in Free Testosterone Report

Test

Description

Free Testosterone

Measures unbound, active testosterone in blood—important in hormonal evaluations.

Key Parts of a Free Testosterone Report

Key Part

Description

Sample Type

Serum (blood sample).

Test Method

Equilibrium dialysis or calculated via total testosterone and SHBG.

Measured Value

Reported in pg/mL or pmol/L.

Reference Range

Varies by age, sex, and lab methodology.

Interpretation

Helps assess low testosterone symptoms or excess androgen levels.

Normal Range for Free Testosterone Report

Category

Reference Range (pg/mL)

Adult Male

35 – 155 pg/mL

Adult Female

0.3 – 4.0 pg/mL

Parameters to Consider in Free Testosterone Report

Parameter

Interpretation

Low Levels

May indicate hypogonadism, pituitary dysfunction, or aging-related decline.

Elevated Levels

Could suggest PCOS in females, anabolic steroid use, or adrenal hyperactivity.

Correlation with Total Testosterone

Essential for accurate hormonal status assessment.

SHBG Influence

Low SHBG can cause elevated free testosterone despite normal total levels.

Guidelines for Free Testosterone Report Format

Guideline

Description

Timing of Test

Morning sample preferred due to peak testosterone levels.

Consistency in Units

Report in pg/mL or standardize using SI units (pmol/L) when needed.

Additional Markers

Consider evaluating LH, FSH, SHBG, and prolactin for complete profile.

What Do the Results Mean?

Result Type

Interpretation

Low Free Testosterone

Linked with fatigue, reduced libido, infertility, or muscle loss.

High Free Testosterone

May cause acne, hirsutism, mood swings, or menstrual irregularities (in females).

Free Testosterone Report Interpretation

Test

Interpretation

Free Testosterone

Indicates bioavailable androgen level—critical for assessing male hypogonadism and female androgen excess disorders. Always interpret alongside clinical signs and related hormones.

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