Skip to content

Testosterone, Total, Serum or Plasma, Mass Concentration, Immunoassay

Published: August 9, 2026Updated: August 17, 2026

This test measures the total amount of testosterone in your blood, including both free testosterone and testosterone that is bound to proteins. It is commonly used to evaluate hormone balance, sexual development, and reproductive health.

Quick summary

["A total testosterone test measures the overall level of the main male sex hormone, which is also present in smaller amounts in females, to help assess hormone-related symptoms and conditions."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
17691-7
Short code
Testost 30M p chal SerPl-mCnc
Synonyms
Testost 30M p chal SerPl-mCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
80
Ref high
200
Critical range
20 N/A – 400 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84436
SNOMED
302346007
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What Is Testosterone?

Testosterone is a hormone produced mainly by the testes in men and by the ovaries and adrenal glands in women. It plays key roles in male sexual development, muscle and bone strength, mood, and energy. In women, testosterone also contributes to normal reproductive and metabolic function.

Why Might You Need This Test?

Your healthcare provider may order a total testosterone test if you have symptoms such as low sex drive, fatigue, mood changes, infertility, or delayed or early puberty. In women, it may be checked for excess hair growth, acne, or irregular periods. It can also be used to monitor hormone therapy or investigate certain tumors.

How the Test Is Done

The test requires a blood sample, usually drawn from a vein in your arm. Because testosterone levels change throughout the day, your provider may ask you to have the blood drawn in the morning, when levels are typically highest. The sample is then analyzed in a laboratory using an immunoassay method.

What the Results Mean

Results are compared with reference ranges that vary by age, sex, and time of day. A low level may suggest hormone deficiency, while a high level may indicate excess production or use of testosterone supplements. Your provider will interpret the result along with your symptoms and other tests; a single result is not a diagnosis.

Reference range

Adult: 80-200 ng/dLN/A

Specimen: serum

Take your thyroid medication after the blood draw if applicable. No fasting required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Total Testosterone

Frequently asked questions

What is the difference between total and free testosterone?
Total testosterone includes all testosterone in the blood, both bound to proteins and unbound. Free testosterone refers only to the small unbound portion that is readily available to tissues. Total testosterone is usually the first test ordered.
Do I need to fast before a testosterone test?
Fasting is generally not required for a total testosterone test, but your provider may give specific instructions. Because levels are highest in the morning, blood is often drawn before 10 a.m.
Can medications affect my testosterone results?
Yes, certain medications, such as testosterone supplements, some antidepressants, and hormone therapies, can affect testosterone levels. Tell your provider about all medicines, supplements, and drugs you take before testing.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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 17, 2026. · Read our editorial policy