Testosterone


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Definition

A testosterone test measures the amount of the male hormone, testosterone, in the blood. Both men and women produce this hormone.

The test described in this article measures the total amount of testosterone in the blood. Another test measures what is called "free" testosterone.


Alternative Names

Serum testosterone


How the test is performed

A blood sample is needed. For information on how this is done, see: Venipuncture

The recommended time of day to have a blood sample taken for this test is between 7 a.m. and 10 a.m. It may need to be repeated a second time.


How to prepare for the test

The health care provider may advise you to stop taking drugs that may affect the test.


How the test will feel

When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.


Why the test is performed

This test may be done if you have symptoms of abnormal male hormone (androgen) production.

In males, the testicles produce most of the testosterone in the body. Levels are most often checked to evaluate signs of low testosterone:

  • In boys -- early or late puberty
  • In men -- impotence, low level of sexual interest, infertility, thinning of the bones

In females, the ovaries produce most of the testosterone. Levels are most often checked to evaluate signs of higher testosterone levels:

  • Decreased breast size
  • Excess hair growth
  • Increased size of the clitoris
  • Irregular or absent menstrual periods
  • Male-pattern baldness or hair thinning

References

Swerdloff RS, Wang C. The testis and male sexual function. In: Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 242.


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Review Date: 3/22/2012
Reviewed By: Shehzad Topiwala, MD, Chief Consultant Endocrinologist, Premier Medical Associates, The Villages, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
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Last Updated 4/24/2012
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