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Testosterone Test

Total testosterone from a morning sample, the standard first measurement for both men and women.

  • Doctor-reviewed results
  • Laboratory analysis
  • 1 to 2 working days from lab receipt
  • No fasting required
Testosterone Test, home test kit

What’s included

1 marker measured

  • Testosterone (total)

    The total amount of testosterone in the blood, used to check men for testosterone deficiency (hypogonadism), best taken fasting between 9 and 11am. A low or borderline result is usually repeated alongside FSH, LH, SHBG and prolactin. Free testosterone, estimated from total testosterone, SHBG and albumin, gives a more reliable picture.

Overview

Testosterone is the usual first hormone test when low sex drive, erection problems or persistent low energy raise the question in men. It is measured in women too, usually alongside SHBG when periods are irregular or acne and unwanted hair growth are the question. It is taken from a morning sample.

Testosterone follows a daily rhythm and is highest in the first few hours after waking, so guidance asks for a sample before about eleven in the morning. A single low reading is never the end of the story; it is repeated on another morning, because sleep, illness, alcohol and a hard training week all move it. In women testosterone is measured for a different reason, usually alongside SHBG when periods are irregular, and the report explains which question your result is answering.

Who this is for and who it isn’t

Who it’s for

  • Adults aged 18 and over
  • Men with low energy, low drive or low mood, tested in the morning
  • Women with irregular periods, acne or unwanted hair growth

Who it isn’t for

  • A single testosterone result settles very little on its own. Levels fall with poor sleep, illness, alcohol and a hard training block, and a low reading is normally repeated on another morning alongside LH and FSH before anyone draws a conclusion. It also measures the total, most of which is bound to SHBG and unavailable, so in people with unusually high or low SHBG the number can mislead.
  • If that applies, free testosterone or SHBG alongside gives the fuller answer. We do not provide testosterone treatment.
  • Anyone with a new, severe or worsening symptom: contact your GP or call NHS 111. A test you buy today is not a substitute for being examined.

Common reasons people choose this test

  • Low energy, low mood or low sex drive in men
  • Loss of muscle or strength despite training
  • Irregular periods, acne or unwanted hair growth in women
  • Considering or already having testosterone treatment and needing a baseline
  • Poor morning erections or reduced early morning energy

These are reasons people choose to test, not signs that something is wrong. A result is one part of a picture your doctor puts together with your history and an examination.

What your result looks like

Every result is shown with the unit and the reference range exactly as the laboratory reported it, with the doctor’s note underneath.

Example reportIllustrative, not a real result
  • Testosterone (total)▼ Low
    Result
    7.4 nmol/L
    Range
    8.6–29 (men)

Doctor’s note (example)

Testosterone is below the range on a morning sample. One low reading is never conclusive: it is repeated on another morning with LH and FSH, and sleep, weight and recent illness are all considered.

Values above are examples. Your report shows your own results with the laboratory’s units and reference range for your age and sex, reviewed, signed and released by a GMC-registered doctor.

How it works

  1. Your kit arrivesPosted to your door, with instructions and what you need to send your sample back.
  2. You take your sampleFinger-prick sample at home, or a clinic blood draw, your choice
  3. The laboratory analyses itYour sample is processed for the measurements included in this test. Lab processing typically takes 1 to 2 working days from receipt of your sample.
  4. A doctor reviews and releases itA GMC-registered doctor reads every result and signs the report before it reaches you.
Sample
Home finger-prick kit
Preparation
Read instructions below
Who it's for
Any sex · ages 18+

How to prepare

Wash your hands with soap and warm water before you start. Do not take the sample from a finger, or any area of skin, where hormone cream or gel has been applied, for example HRT or testosterone gel. If you apply gel to your hands, take the sample from the other hand. Hormone on the skin can get into the sample and give a falsely high result.

What we can and can’t tell you

The reference range beside each result is the laboratory’s own. A result in range is not a clean bill of health and a result outside it is not a diagnosis. Most ranges cover about 95% of healthy people, so about 1 in 20 healthy people fall just outside any one range. No test result replaces an examination or your own doctor’s judgement, and none of these panels is a cancer screening programme.

Read the full note

The reference range printed beside each of your results is the laboratory's own, and it is the range that applies to your result. We do not apply a second range of our own, and we do not tell you that a result the laboratory reported as normal is nonetheless too low or too high. If you see a claim elsewhere that your result ought to sit inside a narrower band than the one the laboratory printed, treat it with caution and ask your doctor.

Some assays cannot give an exact figure above or below a certain point, and those results are reported the way the laboratory sends them, for example as a value greater than a stated number. A result in range is not a clean bill of health, and a result outside a range is not a diagnosis: most reference ranges are set to cover about 95% of healthy people, so some healthy people fall just outside them. No blood test replaces an examination, a scan or your own doctor's judgement, and none of these panels is a screening programme for cancer.

If you have a symptom that is new, severe, or getting worse, contact your GP or NHS 111 rather than waiting for a test result. In an emergency call 999.

Frequently asked questions

What time should I take the sample?

Between 7am and 11am. Testosterone peaks in the early morning and drifts down through the day, and the reference range laboratories use is a morning one.

Do I need to fast?

The laboratory does not require it. UK guidance for testosterone suggests a sample before breakfast where you can, because eating can lower testosterone for a few hours, so taking your sample first thing is simplest.

I am already on testosterone treatment. What does this show?

It shows the level your current treatment is producing, and where that sits depends heavily on how long it has been since your last dose. Monitoring on treatment should be arranged by the clinician who looks after it, who will tell you when in the cycle to test.

Why measure it in women?

Women make testosterone too, and a raised level alongside irregular periods, acne or unwanted hair growth is part of the picture a doctor looks at. It is normally read together with SHBG rather than alone.

I use hormone cream or gel. Does that affect the sample?

It can. Hormone from cream or gel on your skin, such as HRT or testosterone gel, can get into a finger-prick sample and give a falsely high result. Wash your hands first, do not take the sample from a finger or area where cream or gel has been applied, and if you apply gel to your hands, use the other hand.

Does biotin affect the result?

It can. High-dose biotin (vitamin B7), often sold for hair, skin and nails, can make some hormone results read too high or too low. Laboratory advice is usually to leave at least 8 hours after a dose of 5 mg or more, and some advise longer, so the simplest approach is to skip it on the day of your sample. Tell us if you take it, and do not stop a medicine that a doctor has prescribed.

How long do results take?

The laboratory typically takes 1 to 2 working days from receiving your sample. This does not include kit delivery, sample collection or return postage. A doctor reviews your results before they are released.

Can I choose a home kit or a clinic?

Both, it is your choice at checkout. Either collect a finger-prick sample at home with the posted kit and send it back as the instructions explain, or book a clinic appointment and have a trained clinician take the sample for you.

Is a doctor involved?

Yes. Every result is reviewed by a GMC-registered doctor who signs it off and explains what it means and what to do next.

Is it confidential?

Your results are available through your secure patient portal. Our privacy policy explains how your information is handled and when it may be shared to provide your care.

What happens to my sample and results?

Your sample is analysed at a UKAS-accredited laboratory (ISO 15189). A GMC-registered doctor then reads every result and signs the report before it is released, so nothing reaches you unreviewed. There is no option to receive results without a doctor reading them first. The report arrives in your secure portal in plain English: each result with its unit and the laboratory's own reference range, and the doctor's note on what the set means read together. If a result sits outside its range the report says so and explains what usually happens next, which is most often a conversation with your own GP, who can act on it alongside your history and examination. Most reference ranges are set to cover about 95% of healthy people, so about 1 in 20 healthy people fall just outside any one of them. On a report with many results it is common for one to sit just outside its range, and a single number on its own rarely tells the whole story. If a result needs urgent attention, the reviewing doctor is alerted straight away and we contact you by phone the same working day rather than leaving it in the portal for you to find. If a specific result needs rechecking, the reviewing doctor says so in your report.

Doctor-reviewed results
In plain English, signed by a GMC-registered doctor
Laboratory testing
Read each test’s coverage and limitations
No GP referral
Order directly, no waiting list
Private & discreet
Secure results, your own private portal

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