Testosterone testing in adult males

Authors

C.K. HoFollow

Document Type

Article

Publication Date

1-1-2011

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.

Keywords

Pathology

Divisions

fac_med

Publication Title

Malaysian Journal of Pathology

Publisher

College of Pathologists, Academy of Medicine Malaysia

Additional Information

Division of Laboratory Medicine, Department of Pathology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. clementho@ummc.edu.my

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