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Total Free Testosterone (Serum/Plasma)

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

This test measures the amount of free (unbound) testosterone in your blood, which is the active form of the hormone that regulates male and female sex characteristics.

Quick summary

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

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

Key facts at a glance

LOINC
58952-3
Short code
Testost free+total panel SerPl-mCnc
Synonyms
Testost free+total panel SerPl-mCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
44
Ref high
147
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84075
SNOMED
27550007
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 of hormone imbalances, such as irregular menstrual cycles, low libido, or unexplained fatigue. It may also be used in fertility evaluations, monitoring conditions like polycystic ovary syndrome (PCOS), or evaluating hormone replacement therapy.

What to Expect Before the Test

No special preparation is usually needed. You may be asked to fast for 8–12 hours before the test if your blood is drawn in the morning, but confirm with your provider. Wear comfortable clothing and plan to sit or lie down for a short time afterward.

What the Test Involves

A healthcare professional will draw blood from a vein in your arm using a small needle. You may feel a brief pinch, but it typically doesn’t cause significant discomfort. The blood sample is then sent to a lab for analysis.

What the Results Mean

Results are interpreted based on your age, sex, and overall health. High levels may indicate conditions like Cushing’s syndrome or androgen-secreting tumors, while low levels could suggest hypogonadism or other endocrine disorders. Your provider will discuss these findings in the context of your medical history.

Reference range

Adult: 44-147 U/LN/A

Specimen: serum

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Free testosterone level

Frequently asked questions

What does my free testosterone level tell me about my health?
Free testosterone levels help diagnose and monitor conditions affecting hormone function, such as infertility, sexual dysfunction, or metabolic disorders. They also guide treatment decisions for hormone therapy or management of conditions like PCOS.
How often should I get this test?
The frequency depends on your medical needs. Your provider may recommend periodic testing if you have ongoing symptoms, a history of hormone-related conditions, or are undergoing treatment for hormone imbalances.
Can diet or lifestyle affect my testosterone levels?
Yes, factors like diet, exercise, stress, and sleep can influence testosterone levels. Maintaining a balanced diet, managing stress, and getting adequate sleep may support healthy hormone balance, but results from this test are best interpreted by your healthcare provider.
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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 16, 2026. · Read our editorial policy