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Total Testosterone with Free and Bioavailable Subfractions (Serum/Plasma)

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

This test measures your total testosterone level along with the amounts of free testosterone and bioavailable testosterone in your blood. These measurements help assess hormone balance, especially important for menopause, fertility, and hormone-related conditions.

Quick summary

["Understanding your testosterone levels can help identify hormonal imbalances affecting energy, mood, and reproductive health."]

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

Key facts at a glance

LOINC
40326-1
Short code
Testost 3h p Triple Bolus SerPl-sCnc
Synonyms
Testost 3h p Triple Bolus SerPl-sCnc
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
85610
SNOMED
396252006
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

Why This Test Is Done

Your healthcare provider may order this test if you have symptoms like low energy, fatigue, changes in libido, irregular periods (in women), or unexplained infertility. It may also be used to monitor conditions such as hypogonadism, Cushing’s syndrome, or polycystic ovary syndrome (PCOS).

What to Expect Before the Test

No special preparation is needed, but you may be asked to fast for 8–12 hours before the blood draw if your lab requires it. Wear comfortable clothing for easy access to your vein.

What the Test Results Mean

Results provide three key values: total testosterone, free testosterone, and bioavailable testosterone. These values help determine if your hormone levels are within a healthy range for your gender and age.

Common Conditions This Test Helps Diagnose

Low testosterone levels (hypogonadism) can cause symptoms like reduced muscle mass, mood swings, or difficulty concentrating. High testosterone levels may be linked to conditions like Cushing’s syndrome or androgen excess.

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.

Testosterone plays a critical role in muscle strength, bone density, and cognitive function. Free and bioavailable testosterone are more biologically active than total testosterone, so these measurements help pinpoint whether hormonal imbalances are due to overall low levels or specific fractions of testosterone being affected.

Short name

Testosterone profile

Frequently asked questions

What does a low testosterone result mean?
A low result may indicate conditions like hypogonadism (low testosterone production), pituitary disorders, or chronic illnesses. It can also be caused by aging, obesity, or certain medications. Your provider will discuss next steps based on your symptoms and medical history.
How often should I get this test?
Frequency depends on your health status. If you have a known hormonal condition, your provider may recommend testing every 6–12 months. If you’re asymptomatic, testing may only be done if symptoms arise or as part of a routine checkup.
Can lifestyle changes affect these test results?
Yes! Exercise, a balanced diet, and avoiding smoking or excessive alcohol can positively impact testosterone levels. Stress management and maintaining a healthy weight also play a role. Discuss lifestyle changes with your provider to support your results.
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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 17, 2026. · Read our editorial policy