Testosterone testing in adult males
- Author:
Clement KM HO
- Publication Type:Review
- Keywords:
testosterone, androgen index, hypogonadism, infertility
- From:The Malaysian Journal of Pathology
2011;33(2):71-81
- CountryMalaysia
- Language:English
-
Abstract:
The number of requests for testosterone testing in adult males has been increasing in recent years.
In this review, the biochemistry and physiology of testosterone in males relevant to the chemical
pathologist or clinical biochemist is outlined. The methodology for total testosterone and various
laboratory tests associated with the assessment of testosterone status including free testosterone,
calculated free testosterone (CFT), bioavailable testosterone (BAT) and free androgen index (FAI)
is then summarised. Clinical and laboratory criteria for the diagnosis of late-onset hypogonadism
(LOH) in men are critically discussed with particular emphasis on the interpretation of laboratory
test results. Finally, other indications for testosterone testing in adult men such as infertility are
also reviewed.