The clinical measurement of the concentration of unbound, biologically active testosterone (T) circulating in the bloodstream. Since most testosterone is bound to Sex Hormone-Binding Globulin (SHBG) and albumin, the free fraction is the only portion immediately available to bind to androgen receptors and exert its physiological effects. This assessment is considered the most accurate indicator of functional androgen status in both men and women.
Origin
This diagnostic practice evolved from the realization in endocrinology that total hormone levels can be misleading, especially when plasma binding protein concentrations are altered by conditions like thyroid dysfunction or liver disease. The term ‘Free T’ explicitly differentiates the biologically active component from the total circulating pool. Accurate assessment methods, such as equilibrium dialysis or mass spectrometry, have made this measurement a clinical gold standard.
Mechanism
The assessment relies on separating the free testosterone from its protein carriers in the blood sample, often through techniques like ultrafiltration or equilibrium dialysis, before quantification. The resulting level directly reflects the amount of hormone capable of passively diffusing into target cells to activate intracellular androgen receptors. This direct correlation to tissue action makes it a superior metric for diagnosing clinical androgen deficiency or excess.
We use cookies to personalize content and marketing, and to analyze our traffic. This helps us maintain the quality of our free resources. manage your preferences below.
Detailed Cookie Preferences
This helps support our free resources through personalized marketing efforts and promotions.
Analytics cookies help us understand how visitors interact with our website, improving user experience and website performance.
Personalization cookies enable us to customize the content and features of our site based on your interactions, offering a more tailored experience.