{"id":67818,"date":"2016-09-23T16:06:35","date_gmt":"2016-09-23T14:06:35","guid":{"rendered":"https:\/\/badamysie.pl\/?post_type=product&#038;p=67818"},"modified":"2026-10-20T22:35:50","modified_gmt":"2026-10-20T20:35:50","slug":"free-testosterone-laboratory-test","status":"publish","type":"product","link":"https:\/\/badamysie.pl\/en\/produkt\/free-testosterone-laboratory-test\/","title":{"rendered":"Free testosterone &#8211; laboratory test"},"content":{"rendered":"<div class=\"bm-kv\">\n<div><b>Where<\/b>any blood collection point listed at checkout<\/div>\n<div><b>Results turnaround time<\/b>up to 2 working days<\/div>\n<div><b>Sample<\/b>venous blood (serum)<\/div>\n<div><b>Preparation<\/b>morning, 7:00\u201310:00; no fasting required; women: days 2\u20135 of the cycle<\/div>\n<\/div>\n<h2>Why test free testosterone<\/h2>\n<p>Only 1\u20134% of testosterone in men (1\u20132% in women) circulates in the blood in its free form, unbound to proteins; the rest is bound to SHBG and albumin. It is the free fraction that acts on tissues. When SHBG levels are abnormal (they rise with age, in hyperthyroidism and with oestrogen use; they fall in obesity, diabetes and hypothyroidism), total testosterone no longer reflects what reaches the cells. Measuring the free fraction then determines whether a deficiency or excess is genuine.<\/p>\n<h2>When to consider this test<\/h2>\n<ul>\n<li>men with symptoms of hypogonadism (reduced libido, erectile dysfunction, fatigue, loss of muscle mass) and total testosterone close to the lower limit of the reference range,<\/li>\n<li>obesity, type 2 diabetes, metabolic syndrome, liver or thyroid disease, age over 60 years (altered SHBG),<\/li>\n<li>women with hirsutism, acne, hair loss or irregular cycles despite normal total testosterone (suspected PCOS),<\/li>\n<li>monitoring testosterone therapy or antiandrogen treatment,<\/li>\n<li>athletes following anabolic steroid use (assessment of hormonal axis recovery).<\/li>\n<\/ul>\n<h2>How to prepare<\/h2>\n<ul>\n<li>Have your blood taken in the morning between 7:00 and 10:00, after a full night&#8217;s sleep; fasting is not required, but for a full assessment your doctor will usually also request a fasting total testosterone test at the same time.<\/li>\n<li>Do not have the test during an infection, after a sleepless night or after strenuous training the previous day.<\/li>\n<li>Women: days 2\u20135 of the cycle; hormonal contraception raises SHBG and lowers the free fraction.<\/li>\n<li>Stop taking high-dose biotin for 2\u20133 days.<\/li>\n<\/ul>\n<h2>How to interpret your result<\/h2>\n<p>Results are reported in pg\/ml or pmol\/l (1 pg\/ml = 3,47 pmol\/l). Reference ranges depend on the method, sex and age; compare your result with the range on your report. As a guide, ALAB gives a range of 0,2\u20133,1 pg\/ml for adult women.<\/p>\n<table>\n<tr>\n<th>Result<\/th>\n<th>What it usually means<\/th>\n<\/tr>\n<tr>\n<td>low free testosterone, normal total testosterone<\/td>\n<td>high SHBG (age, hyperthyroidism, oestrogens, liver disease); a genuine deficiency is possible despite \u201cnormal\u201d total testosterone<\/td>\n<\/tr>\n<tr>\n<td>normal free testosterone, low total testosterone<\/td>\n<td>low SHBG (obesity, diabetes, hypothyroidism); apparent rather than genuine deficiency, testosterone treatment is usually not indicated<\/td>\n<\/tr>\n<tr>\n<td>both low in a man with symptoms<\/td>\n<td>hypogonadism; confirmation with a second morning measurement, LH, prolactin and pituitary assessment<\/td>\n<\/tr>\n<tr>\n<td>high free testosterone in a woman<\/td>\n<td>PCOS, congenital adrenal hyperplasia, rarely a tumour; the doctor adds DHEA-S, androstenedione and 17-OHP tests<\/td>\n<\/tr>\n<\/table>\n<p>The Endocrine Society recommends diagnosing deficiency based on two fasting morning measurements and using free testosterone measured by equilibrium dialysis or calculated free testosterone; it considers direct free testosterone immunoassays inaccurate.<\/p>\n<h2>Other tests to consider alongside this test<\/h2>\n<p><a href=\"https:\/\/badamysie.pl\/en\/produkt\/total-testosterone-laboratory-test\/\">total testosterone<\/a>, <a href=\"https:\/\/badamysie.pl\/en\/produkt\/shbg-laboratory-test\/\">SHBG<\/a>, <a href=\"https:\/\/badamysie.pl\/en\/produkt\/albumin-laboratory-test\/\">albumin<\/a> (to calculate the free fraction), <a href=\"https:\/\/badamysie.pl\/en\/produkt\/lh-laboratory-test\/\">LH<\/a>, <a href=\"https:\/\/badamysie.pl\/en\/produkt\/prolactin-laboratory-test\/\">prolactin<\/a>, <a href=\"https:\/\/badamysie.pl\/en\/produkt\/thyroid-stimulating-hormone-tsh-laboratory-test\/\">TSH<\/a>; in women, <a href=\"https:\/\/badamysie.pl\/en\/produkt\/dhea-s-laboratory-test\/\">DHEA-S<\/a> and <a href=\"https:\/\/badamysie.pl\/en\/produkt\/androstenedione-laboratory-test\/\">androstenedione<\/a>. Read more: <a href=\"https:\/\/www.badania-medyczne.pl\/testosteron-badanie-normy-objawy-niedoboru\/\">article about testosterone on Badania-Medyczne.pl<\/a>.<\/p>\n<div class=\"bm-faq\">\n<h2>Frequently asked questions<\/h2>\n<details>\n<summary>When should free testosterone be tested instead of total testosterone?<\/summary>\n<p>When total testosterone is close to the lower limit of the reference range, or when something alters the level of SHBG, the protein that binds testosterone: obesity, type 2 diabetes, metabolic syndrome, thyroid and liver disease, older age or certain medicines. In these situations, total testosterone is misleading, while free testosterone shows the fraction that is actually active.<\/p>\n<\/details>\n<details>\n<summary>What time should the blood sample be taken?<\/summary>\n<p>In the morning, between 7:00 and 10:00; testosterone levels in men are highest at this time. Keep to the same time when repeating the test. Women: days 2\u20135 of the cycle.<\/p>\n<\/details>\n<details>\n<summary>Why does the method matter?<\/summary>\n<p>Direct free testosterone immunoassays are inaccurate; the Endocrine Society recommends equilibrium dialysis or calculation using total testosterone, SHBG and albumin. Ask at the collection point or check your report to find out which method was used; if the result is questionable, the doctor requests total testosterone + SHBG and calculates the free fraction.<\/p>\n<\/details>\n<\/div>\n<p class=\"bm-src\">Sources: <a href=\"https:\/\/www.alab.pl\/badanie\/testosteron-wolny-o41\" rel=\"noopener\">ALAB laboratoria, Free testosterone (sample collection time, free fraction 1\u20134%, role of SHBG, causes of low and high levels)<\/a>; <a href=\"https:\/\/academic.oup.com\/jcem\/article\/103\/5\/1715\/4939465\" rel=\"noopener\">Bhasin S. et al., Testosterone Therapy in Men with Hypogonadism: Endocrine Society Clinical Practice Guideline, J Clin Endocrinol Metab 2018 (two fasting morning measurements, free testosterone when SHBG is altered, equilibrium dialysis or calculation, not direct immunoassays)<\/a>. This information does not replace a medical consultation.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Free testosterone<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"featured_media":39005,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[2230,2209],"product_tag":[],"class_list":["post-67818","product","type-product","status-publish","has-post-thumbnail","product_cat-other-laboratory-tests","product_cat-unstable-tests","first","instock","virtual","sold-individually","taxable","purchasable","product-type-simple"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.4 - aioseo.com -->\n\t<meta name=\"description\" content=\"Free testosterone test for hormone assessment. No referral needed. Buy online; almost 700 collection points in Poland. 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