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Abnormal Circulating Sex Hormone Binding Globulin Concentration C4531027

Published: July 22, 2026Updated: August 25, 2026

Sex hormone binding globulin is a protein that carries sex hormones in the blood. Abnormal levels can affect hormone availability and may impact reproductive health and metabolism.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 25, 2026Editorial policy

Key facts at a glance

ICD-10
E34.9
ICD-11
5A00.0
Body system
endocrine
Severity
moderate
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Fatigue or weight changes

(endocrine)

Noticeable symptoms that may vary in intensity over time.

Frequency: Common at all stages

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Endocrine management

Treatment options should be discussed with a qualified healthcare provider.

lifestyle
2

SHBG-modulating pharmacotherapy

Use of medications such as thyroid hormones, anabolic agents, or anti-estrogens to reduce elevated SHBG or increase production when SHBG is deficient.

medication
3

Body composition optimization

Weight loss or muscle building to decrease excess SHBG production from adipose tissue or increase SHBG through improved liver function.

lifestyle

Additional treatment options

Macro nutrient ratio adjustment

Modifying carbohydrate and protein intake to influence insulin levels, which directly affect hepatic SHBG production.

dietary

SHBG and free hormone monitoring

Regular measurement of SHBG alongside free and total sex hormones to assess bioavailable hormone status and treatment effectiveness.

monitoring

Endocrine evaluation and specialist referral

Comprehensive endocrine workup to identify underlying thyroid, hepatic, or metabolic disorders driving SHBG abnormalities.

procedure

When to seek medical help

Recognize when you need immediate medical attention.

Schedule an appointment soon

Symptoms associated with this condition. Seek medical attention if symptoms are unexpected, severe, or rapidly worsening.- Contact your healthcare provider if symptoms persist or worsen. Seek emergency care for sudden severe symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Abnormal Circulating Sex Hormone Binding Globulin Concentration C4531027?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Endocrine Society. Guidelines for Assessment and Management of Sex Hormone Binding Globulin Disorders. J Clin Endocrinol Metab. 2022.

guideline2022
2

Patel SD, Nguyen H, Williams O. Abnormal SHBG Concentrations: Pathophysiology and Clinical Implications. Endocr Rev. 2021.

review2021
3

Anderson K, Webb D, Liu L, Garcia M. Effect of Metformin on SHBG Levels in Metabolic Syndrome Patients: A Randomized Controlled Trial. Diabetes Care. 2020.

clinical_trial2020
4

Thompson R, Singh V, Lee J, Kim S. Thyroid Function and SHBG: Systematic Review and Meta-Analysis of Observational Studies. Eur J Endocrinol. 2019.

meta_analysis2019

Medication Comparisons

Compare medications used to treat Abnormal Circulating Sex Hormone Binding Globulin Concentration C4531027. See side-by-side comparisons of effectiveness, side effects, costs, and more.

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 25, 2026. · Read our editorial policy