Skip to content

Free Testosterone (Serum)

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of free (unbound) testosterone in your blood, which is an important hormone for men and women. Free testosterone is the biologically active form of testosterone that can be directly used by your body.

Quick summary

["Understanding your free testosterone levels helps assess hormone balance and potential hormonal health concerns."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
96559-0
Short code
Testost Free SerPl Calc-sCnc
Synonyms
Testost Free SerPl Calc-sCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
calculated
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 Is This Test Done?

Your healthcare provider may order a free testosterone test if you have symptoms of hormonal imbalances, such as irregular menstrual cycles, low libido, fatigue, or unexplained hair loss. It may also be used to evaluate conditions like polycystic ovary syndrome (PCOS), hypogonadism, or androgen-related disorders.

What to Expect Before the Test

No special preparation is usually needed. You may be asked to fast for 8–12 hours before the blood draw if your test is part of a broader hormonal panel. Avoid alcohol and certain medications that could affect hormone levels for 24 hours before testing.

How the Test Works

A small sample of blood is drawn from a vein in your arm. The blood is then processed to separate free testosterone from other hormones and proteins. The lab analyzes the free fraction of testosterone using a sensitive immunoassay method.

What the Results Mean

Results are typically reported as a concentration (in picograms per milliliter, pg/mL, or nanograms per deciliter, ng/dL). While reference ranges vary by lab, lower-than-expected levels may indicate conditions like hypogonadism, while higher-than-expected levels could suggest Cushing’s syndrome or other hormonal excesses. Your provider will interpret results in the context of your symptoms and medical history.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Free testosterone level

Frequently asked questions

What Are Common Causes of Abnormal Results?
Abnormally low free testosterone levels may be caused by conditions like pituitary disorders, primary ovarian insufficiency, or chronic illnesses such as obesity or liver disease. High levels could result from tumors affecting the adrenal glands or pituitary, or from medications that increase androgen production.
How Often Should I Get This Test?
The frequency depends on your symptoms and medical history. Your healthcare provider may recommend testing every few months for chronic conditions or annually for routine monitoring in certain cases. Follow-up testing is often guided by clinical decisions rather than a fixed schedule.
Can I Adjust My Diet or Lifestyle Before the Test?
Yes! To get the most accurate results, avoid alcohol and high-fat meals for 24 hours before testing. Regular exercise and stress management may also help balance hormone levels, but avoid sudden lifestyle changes without consulting your provider first.
  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 16, 2026. · Read our editorial policy