The essential diagnostic assessment that quantifies both the total concentration of testosterone circulating in the plasma and the minute fraction of unbound, biologically active testosterone. Total testosterone includes the hormone bound to Sex Hormone Binding Globulin (SHBG) and albumin, while the free level represents the immediate fraction available to diffuse into cells and activate androgen receptors. Evaluating both levels is critical for accurately assessing androgen status and determining the physiological impact of testosterone deficiency or excess.
Origin
This term is a direct, descriptive combination of two distinct, clinically measured analytes: “Total Testosterone” and “Free Testosterone.” Its origin is in clinical endocrinology, where the necessity of distinguishing between bound and unbound hormone fractions became clear for accurate diagnosis of hypogonadism and hyperandrogenism. The measurement methodology is a cornerstone of modern hormonal assessment.
Mechanism
Total testosterone is the reservoir, primarily regulated by the
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