Testosterone Free and Total - Test, Procedure & Cost

Testosterone Free and Total

The total testosterone test measures free testosterone and testosterone bound to proteins. A free testosterone test measures only the "active" form of testosterone. This test is less common, but it is used in diagnosing certain medical conditions.

Testosterone is a male hormone essential for developing male physical features and reproductive functions, such as the Development of body hair, muscle growth, a deepening voice, Regulating sex drive, sustaining muscle mass, and helping produce sperm in the testes.

You will be amazed to know that even women also make testosterone in much smaller amounts in the ovaries and adrenal glands.

Purpose of this Test

There are two significant forms of testosterone in the body commonly measured to help diagnose specific health problems: free and total testosterone.

Free testosterone is the active or unbound form of testosterone that acts as a receptor to cells in the body. At the same time, total testosterone includes unbound and bound testosterone attached to proteins.

Patients are advised to take this test to:

  • Determine the cause of early or late puberty in children and teens
  • Get the cause of infertility
  • Watch over infertility treatments
  • Survey the health of transgender men taking testosterone for gender-affirming hormone therapy

Conditions that alter Testosterone Levels

Various conditions affect testosterone levels. Testosterone levels may be abnormally low due to conditions such as:

  • Thyroid problems
  • tumor detected in the ovaries, adrenal glands, or testicles
  • Various autoimmune disorders
  • A pituitary gland disorder
  • Chronic illness (kidney or liver disease, lung disease)
  • Acute infections
  • Injury to the testicles

When is a Testosterone Test Advised?

Patients are advised to check testosterone Free (Direct) and Total Testosterone Tests when they encounter symptoms associated with a testosterone deficiency, such as-

  • Loss of sex drive
  • Erectile dysfunction
  • Infertility
  • Enlarged breasts
  • Lack of face or body hair
  • Brittle bones or anemia without a known cause
  • Muscle weakness
  • Early or late onset of puberty
  • Osteoporosis or thinning of the bones

Also, it can be checked in women or anyone with ovaries if physical changes mimic low or high testosterone levels. Modifications may include the following:

  • Irregular periods
  • Loss of periods
  • Changes in hair growth patterns
  • Voice changes
  • Skin changes such as oily skin or acne
  • Enlarged clitoris

Testing is also recommended every three months during the first year of therapy as your dose is adjusted.



Test Type Testosterone Free and Total

Testosterone Free and Total Test (Pathology Test)


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Test Price: ₹ 2500
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