{"product_id":"complete-male-hormones","title":"Home Testosterone Test Kit UK - Complete Male Hormone Panel","description":"\u003cp\u003e\u003cmeta charset=\"utf-8\"\u003e \u003cmeta content=\"width=device-width, initial-scale=1\" name=\"viewport\"\u003e\u003cmeta content=\"Order a home testosterone test kit in the UK. UKAS accredited and CQC registered labs check testosterone, LH, FSH, SHBG, prolactin, DHEAS and FAI.\" name=\"description\"\u003e\u003c\/p\u003e\n\u003cstyle\u003e\n  .mh_product {\n    --mh_ink: #2f2a28;\n    --mh_muted: #6f625d;\n    --mh_taupe: #786863;\n    --mh_taupe_dark: #5e4c46;\n    --mh_cream: #f5eee3;\n    --mh_line: #ded2c5;\n    --mh_white: #ffffff;\n    --mh_green_bg: #e8f3e9;\n    --mh_green_text: #345f3f;\n    --mh_amber_bg: #fff1cf;\n    --mh_amber_text: #7b5715;\n    --mh_orange_bg: #f9e7d7;\n    --mh_orange_text: #8a4d2d;\n    --mh_red_bg: #f8dfdf;\n    --mh_red_text: #8f3535;\n    --mh_blue_bg: #e8eef4;\n    --mh_blue_text: #405c72;\n    color: var(--mh_ink);\n    font-family: inherit;\n    font-size: 16px;\n    line-height: 1.7;\n    margin: 0 auto;\n    max-width: 1120px;\n  }\n\n  .mh_product * { box-sizing: border-box; }\n\n  .mh_product h2,\n  .mh_product h3,\n  .mh_product h4 {\n    color: var(--mh_ink);\n    line-height: 1.2;\n    margin-top: 0;\n  }\n\n  .mh_product h2 {\n    font-family: Georgia, \"Times New Roman\", serif;\n    font-size: clamp(32px, 5vw, 54px);\n    font-weight: 500;\n    margin-bottom: 18px;\n  }\n\n  .mh_product h3 {\n    font-family: Georgia, \"Times New Roman\", serif;\n    font-size: clamp(25px, 3vw, 34px);\n    font-weight: 500;\n    margin-bottom: 16px;\n  }\n\n  .mh_product h4 { font-size: 18px; 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}\n\n  .mh_faq details {\n    border-bottom: 1px solid var(--mh_line);\n    padding: 14px 0;\n  }\n\n  .mh_faq details:last-child { border-bottom: 0; }\n\n  .mh_faq summary {\n    cursor: pointer;\n    font-weight: 700;\n  }\n\n  .mh_faq details p { margin-top: 12px; }\n\n  .mh_footer_note {\n    background: var(--mh_taupe_dark);\n    border-radius: 16px;\n    color: #ffffff;\n    padding: 24px;\n  }\n\n  .mh_footer_note h3,\n  .mh_footer_note strong { color: #ffffff; }\n\n  @media (max-width: 900px) {\n    .mh_grid,\n    .mh_method_grid,\n    .mh_trust_grid { grid-template-columns: repeat(2, minmax(0, 1fr)); }\n\n    .mh_steps,\n    .mh_review_grid { grid-template-columns: 1fr; }\n\n    .mh_review_meta { grid-template-columns: 1fr; }\n  }\n\n  @media (max-width: 540px) {\n    .mh_grid,\n    .mh_method_grid,\n    .mh_trust_grid { grid-template-columns: 1fr; }\n\n    .mh_product { font-size: 15px; }\n\n    .mh_biomarker summary {\n      font-size: 16px;\n      padding: 16px;\n    }\n\n    .mh_biomarker_body { padding: 18px 15px 21px; }\n\n    .mh_review_avatar {\n      flex-basis: 78px !important;\n      height: 78px !important;\n      max-height: 78px !important;\n      max-width: 78px !important;\n      min-height: 78px !important;\n      min-width: 78px !important;\n      width: 78px !important;\n    }\n  }\n\u003c\/style\u003e\n\u003cp\u003e \u003c\/p\u003e\n\u003carticle class=\"mh_product\"\u003e\n\u003csection class=\"mh_hero\"\u003e\n\u003cp class=\"mh_eyebrow\"\u003eAt home complete male hormone blood test\u003c\/p\u003e\n\u003ch2\u003eHome Testosterone Test Kit UK | Complete Male Hormone Panel\u003c\/h2\u003e\n\u003cp class=\"mh_lead\"\u003e\u003cstrong\u003eA broad 9 biomarker home blood test covering testosterone, androgen availability, pituitary reproductive hormones, prolactin and DHEAS.\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eThe panel provides selected information about male androgen and reproductive hormone patterns. It can support discussion of reduced libido, erectile symptoms, low energy or fertility concerns, but it cannot diagnose the cause by itself.\u003c\/p\u003e\n\u003cdiv class=\"mh_grid\"\u003e\n\u003cdiv class=\"mh_stat\"\u003e\n\u003cstrong\u003e9 biomarkers\u003c\/strong\u003e\u003cspan\u003eTestosterone, FAI, LH, FSH, SHBG, albumin, prolactin and DHEAS\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"mh_stat\"\u003e\n\u003cstrong\u003eHome collection\u003c\/strong\u003e\u003cspan\u003eCapillary blood collected into the supplied microtainer\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"mh_stat\"\u003e\n\u003cstrong\u003eUK laboratory pathway\u003c\/strong\u003e\u003cspan\u003eUKAS accredited and CQC registered laboratory processing\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"mh_stat\"\u003e\n\u003cstrong\u003eProduct code\u003c\/strong\u003e\u003cspan\u003eC1BLP22600\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"mh_notice\"\u003e\n\u003cstrong\u003eBroad panel, not a complete endocrine diagnosis\u003c\/strong\u003e\n\u003cp\u003eThis product does not include oestradiol, thyroid hormones, cortisol, PSA or a semen analysis. It cannot diagnose low testosterone, infertility, erectile dysfunction, pituitary disease, testicular disease or adrenal disease.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"mh_warning\"\u003e\n\u003cstrong\u003eDo not start testosterone or DHEA from a home result\u003c\/strong\u003e\n\u003cp\u003eHormone treatment can affect fertility and may carry important risks. Do not start, stop or alter testosterone, DHEA, anabolic steroids or fertility treatment without an appropriately qualified clinician.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\u003csection class=\"mh_section\"\u003e\n\u003cp class=\"mh_eyebrow\"\u003eQuality and compliance\u003c\/p\u003e\n\u003ch3\u003eHome testing supported by UK clinical standards\u003c\/h3\u003e\n\u003cdiv class=\"mh_trust_grid\"\u003e\n\u003cdiv class=\"mh_trust_item\"\u003e\n\u003cstrong\u003eUKAS accredited laboratories\u003c\/strong\u003e \u003cspan\u003eMedical laboratory accreditation assesses quality, competence and analytical performance.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"mh_trust_item\"\u003e\n\u003cstrong\u003eCQC registered services\u003c\/strong\u003e \u003cspan\u003eThe diagnostic pathway uses organisations registered with the Care Quality Commission.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"mh_trust_item\"\u003e\n\u003cstrong\u003eCompliant collection equipment\u003c\/strong\u003e \u003cspan\u003eUKCA and CE marked equipment supported by an ISO 13485 quality management framework.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"mh_trust_item\"\u003e\n\u003cstrong\u003eSecure results\u003c\/strong\u003e \u003cspan\u003eClear collection guidance, secure result delivery and escalation support where required.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\u003csection class=\"mh_section\"\u003e\n\u003ch3\u003eWhat this complete male hormone panel measures\u003c\/h3\u003e\n\u003cdiv class=\"mh_table_wrap\"\u003e\n\u003ctable class=\"mh_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eHealth area\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eBiomarkers\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat they may help show\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eTestosterone status\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eTotal testosterone and free testosterone\u003c\/td\u003e\n\u003ctd\u003eThe amount of circulating testosterone and the fraction available to tissues.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eAndrogen calculations\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eFAI, SHBG and albumin\u003c\/td\u003e\n\u003ctd\u003eAdditional context on testosterone binding and estimated androgen availability.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003ePituitary and testicular signalling\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eLH and FSH\u003c\/td\u003e\n\u003ctd\u003eHormone signals involved in testosterone production and spermatogenesis.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003ePituitary context\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eProlactin\u003c\/td\u003e\n\u003ctd\u003eA hormone that can suppress reproductive signalling when persistently raised.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eAdrenal androgen context\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eDHEAS\u003c\/td\u003e\n\u003ctd\u003eA relatively stable marker of adrenal androgen production.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\u003csection class=\"mh_section\"\u003e\n\u003ch3\u003eWho may consider this test?\u003c\/h3\u003e\n\u003cp\u003eThis panel may be considered by adult men seeking selected hormone information in the context of:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eReduced libido or loss of morning erections\u003c\/li\u003e\n\u003cli\u003eErectile dysfunction\u003c\/li\u003e\n\u003cli\u003ePersistent tiredness, low mood or reduced muscle strength\u003c\/li\u003e\n\u003cli\u003eFertility concerns alongside a semen analysis\u003c\/li\u003e\n\u003cli\u003eBreast enlargement or unexpected breast discharge\u003c\/li\u003e\n\u003cli\u003eAn earlier low or borderline testosterone result\u003c\/li\u003e\n\u003cli\u003ePossible pituitary or adrenal androgen concerns\u003c\/li\u003e\n\u003cli\u003eMonitoring requested by a GP, endocrinologist, urologist or fertility specialist\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eThese symptoms are non specific. Sleep problems, depression, medicines, obesity, diabetes, vascular disease, alcohol and other conditions may produce similar symptoms.\u003c\/p\u003e\n\u003c\/section\u003e\n\u003csection class=\"mh_section\"\u003e\n\u003ch3\u003eMorning timing and repeat testing\u003c\/h3\u003e\n\u003cdiv class=\"mh_table_wrap\"\u003e\n\u003ctable class=\"mh_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eTesting point\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eRecommended approach\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eCollection time\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eCollect testosterone in the morning, ideally between 9 am and 11 am, because levels change through the day.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eFasting\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eFollow the kit instructions. UK diagnostic pathways commonly use a fasting morning sample for consistency.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eHealth status\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eTest when physiologically well. Acute illness, poor sleep, calorie restriction and overtraining can temporarily alter results.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eRepeat result\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eA low or borderline testosterone result should normally be repeated on a separate morning before diagnosis.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eFertility assessment\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eUse a semen analysis to assess sperm count, movement and shape. Hormone results provide additional context.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\u003csection class=\"mh_section\"\u003e\n\u003ch3\u003eHow the home testosterone test kit works\u003c\/h3\u003e\n\u003cdiv class=\"mh_steps\"\u003e\n\u003cdiv class=\"mh_step\"\u003e\n\u003cspan class=\"mh_step_number\"\u003e1\u003c\/span\u003e\n\u003ch4\u003ePrepare for morning collection\u003c\/h4\u003e\n\u003cp\u003eReview fasting, medicine, supplement and hormone product instructions before testing.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"mh_step\"\u003e\n\u003cspan class=\"mh_step_number\"\u003e2\u003c\/span\u003e\n\u003ch4\u003eCollect and return\u003c\/h4\u003e\n\u003cp\u003eCollect capillary blood into the supplied microtainer and return it using the provided packaging.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"mh_step\"\u003e\n\u003cspan class=\"mh_step_number\"\u003e3\u003c\/span\u003e\n\u003ch4\u003eReview the full pattern\u003c\/h4\u003e\n\u003cp\u003eConsider testosterone, LH, FSH, SHBG, prolactin and DHEAS together rather than relying on one number.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\u003csection class=\"mh_section\"\u003e\n\u003ch3\u003ePreparing for the test\u003c\/h3\u003e\n\u003cdiv class=\"mh_table_wrap\"\u003e\n\u003ctable class=\"mh_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003ePreparation\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat to do\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eMorning sample\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eCollect between 9 am and 11 am where possible and record the exact collection time.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eFood and water\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eFollow the kit fasting instructions. Plain water is normally allowed and supports collection.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003ePrescribed medicines\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eRecord opioids, antidepressants, antipsychotics, anti-sickness medicines, anticonvulsants and glucocorticoids.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eHormone products\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eRecord testosterone, DHEA, pregnenolone, anabolic steroids, fertility medicines and supplements marketed as hormone boosters.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eBiotin\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eBiotin is vitamin B7 and may interfere with some assays. Ask whether it should be paused.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eExercise and stress\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eAvoid unusually strenuous exercise and allow time to settle before collection, particularly for prolactin.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eRecent illness\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eDelay non urgent testing until recovered where possible because illness can alter testosterone and prolactin.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eSleep\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eRecord significant sleep deprivation, shift work or obstructive sleep apnoea because these may affect interpretation.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\u003csection class=\"mh_section\"\u003e\n\u003ch3\u003eCommon hormone patterns\u003c\/h3\u003e\n\u003cp\u003eThese examples support discussion and are not diagnoses.\u003c\/p\u003e\n\u003cdiv class=\"mh_table_wrap\"\u003e\n\u003ctable class=\"mh_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003ePattern\u003c\/th\u003e\n\u003cth scope=\"col\"\u003ePossible context\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eNext step\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eLow testosterone with high LH or FSH\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eMay suggest primary testicular dysfunction.\u003c\/td\u003e\n\u003ctd\u003eRepeat testosterone and seek endocrine or urology assessment.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eLow testosterone with low or normal LH and FSH\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eMay suggest pituitary or hypothalamic suppression, medicine effects, obesity or systemic illness.\u003c\/td\u003e\n\u003ctd\u003eReview prolactin, medicines, illness and possible further pituitary testing.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eLow total testosterone with abnormal SHBG\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eThe total result may not accurately represent available testosterone.\u003c\/td\u003e\n\u003ctd\u003eConsider a validated calculated free testosterone result.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eRaised prolactin with low testosterone\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003ePersistent hyperprolactinaemia may suppress reproductive signalling.\u003c\/td\u003e\n\u003ctd\u003eRepeat under controlled conditions and investigate medicines, thyroid, kidney and pituitary causes.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eMarkedly raised DHEAS\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eMay indicate supplement exposure or increased adrenal androgen output.\u003c\/td\u003e\n\u003ctd\u003eStop non prescribed DHEA and arrange clinical review.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\u003csection class=\"mh_section\"\u003e\n\u003ch3\u003eBiomarkers and result interpretation\u003c\/h3\u003e\n\u003cp\u003eSelect each marker to read what it measures, preparation guidance and how low, normal, high, undefined or critical results may be considered.\u003c\/p\u003e\n\u003cdetails class=\"mh_biomarker\"\u003e\n\u003csummary\u003eLuteinising hormone\u003c\/summary\u003e\n\u003cdiv class=\"mh_biomarker_body\"\u003e\n\u003cp\u003eLuteinising hormone, known as LH, is released by the pituitary gland. In men it stimulates Leydig cells in the testes to produce testosterone.\u003c\/p\u003e\n\u003cp\u003eLH becomes particularly useful when testosterone is low. High LH with low testosterone may suggest primary testicular dysfunction. Low or inappropriately normal LH with low testosterone may suggest pituitary or hypothalamic suppression.\u003c\/p\u003e\n\u003cdiv class=\"mh_subnote\"\u003e\n\u003cstrong\u003eBefore testing\u003c\/strong\u003e\n\u003cp\u003eCollect in the morning, ideally between 9 am and 11 am, when physiologically well. Follow the kit fasting instructions. Record testosterone, anabolic steroids, opioids, glucocorticoids, anticonvulsants, fertility medicines and hormone gel exposure.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003ch4\u003eHow to understand this result\u003c\/h4\u003e\n\u003cdiv class=\"mh_table_wrap\"\u003e\n\u003ctable class=\"mh_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eResult\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat it may mean\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat to do\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_low\"\u003eLow\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay occur with pituitary or hypothalamic suppression, acute illness, obesity, opioid use, anabolic steroids, testosterone treatment or other medicines.\u003c\/td\u003e\n\u003ctd\u003eInterpret it with testosterone, FSH, prolactin and symptoms.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_normal\"\u003eNormal\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eFalls within the laboratory interval.\u003c\/td\u003e\n\u003ctd\u003eA normal LH does not exclude a central cause when testosterone is low because it may be inappropriately normal.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_high\"\u003eHigh\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay indicate that the pituitary is increasing stimulation because the testes are not responding adequately.\u003c\/td\u003e\n\u003ctd\u003eDiscuss the result with a GP or endocrinology professional.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/details\u003e\n\u003cdetails class=\"mh_biomarker\"\u003e\n\u003csummary\u003eFree androgen index\u003c\/summary\u003e\n\u003cdiv class=\"mh_biomarker_body\"\u003e\n\u003cp\u003eFree androgen index, known as FAI, is calculated as total testosterone divided by SHBG and multiplied by 100. It estimates androgen availability rather than directly measuring free testosterone.\u003c\/p\u003e\n\u003cp\u003eFAI is used more commonly when assessing androgen excess in women. In men it becomes unreliable when SHBG is low or outside its usual range and should not be used alone to diagnose testosterone deficiency or guide testosterone replacement.\u003c\/p\u003e\n\u003cdiv class=\"mh_subnote\"\u003e\n\u003cstrong\u003eMale interpretation limitation\u003c\/strong\u003e\n\u003cp\u003eA validated calculated free testosterone method using total testosterone, SHBG and albumin is generally more informative than FAI when male testosterone status is uncertain.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"mh_subnote\"\u003e\n\u003cstrong\u003eBefore testing\u003c\/strong\u003e\n\u003cp\u003eCollect in the morning, ideally between 9 am and 11 am, when physiologically well. Follow the kit fasting instructions. Record testosterone, anabolic steroids, opioids, glucocorticoids, anticonvulsants, fertility medicines and hormone gel exposure.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003ch4\u003eHow to understand this result\u003c\/h4\u003e\n\u003cdiv class=\"mh_table_wrap\"\u003e\n\u003ctable class=\"mh_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eResult\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat it may mean\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat to do\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_low\"\u003eLow\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay reflect lower total testosterone, higher SHBG or both.\u003c\/td\u003e\n\u003ctd\u003eReview total testosterone, SHBG, albumin, calculated free testosterone and symptoms.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_normal\"\u003eNormal\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eFalls within the reporting laboratory category.\u003c\/td\u003e\n\u003ctd\u003eDo not treat a normal FAI as proof that testosterone status is normal.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_info\"\u003eUndefined\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eThe calculation could not be interpreted reliably, often because testosterone or SHBG was outside the analytical range.\u003c\/td\u003e\n\u003ctd\u003eFollow the laboratory recommendation and discuss repeat testing.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_high\"\u003eHigh\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay reflect higher total testosterone, lower SHBG, testosterone treatment, anabolic steroids or other factors.\u003c\/td\u003e\n\u003ctd\u003eDiscuss an unexpected result and all hormone products with a clinician.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/details\u003e\n\u003cdetails class=\"mh_biomarker\"\u003e\n\u003csummary\u003eAlbumin\u003c\/summary\u003e\n\u003cdiv class=\"mh_biomarker_body\"\u003e\n\u003cp\u003eAlbumin is the principal protein in blood plasma and carries hormones, medicines and other substances. Some testosterone binds loosely to albumin.\u003c\/p\u003e\n\u003cp\u003eAlbumin may be used with total testosterone and SHBG when estimating free testosterone. It is not a complete liver, kidney or nutritional assessment.\u003c\/p\u003e\n\u003cdiv class=\"mh_subnote\"\u003e\n\u003cstrong\u003eBefore testing\u003c\/strong\u003e\n\u003cp\u003eMaintain normal hydration. Record liver disease, kidney disease, significant inflammation, weight loss and prescribed medicines.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003ch4\u003eHow to understand this result\u003c\/h4\u003e\n\u003cdiv class=\"mh_table_wrap\"\u003e\n\u003ctable class=\"mh_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eResult\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat it may mean\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat to do\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_critical\"\u003eCritical low\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eCan occur with serious liver disease, kidney protein loss, severe inflammation, malnutrition or critical illness.\u003c\/td\u003e\n\u003ctd\u003eArrange prompt clinical review and follow urgent laboratory advice.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_low\"\u003eLow\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay reflect inflammation, liver disease, kidney loss, poor intake, malabsorption or fluid overload.\u003c\/td\u003e\n\u003ctd\u003eDiscuss wider liver, kidney and inflammatory testing with a GP.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_normal\"\u003eNormal\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eFalls within the laboratory reference interval.\u003c\/td\u003e\n\u003ctd\u003eUse it as part of free testosterone interpretation where relevant.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_high\"\u003eHigh\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMost commonly reflects dehydration or concentration of the blood sample.\u003c\/td\u003e\n\u003ctd\u003eReview hydration and discuss a persistent result with a clinician.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/details\u003e\n\u003cdetails class=\"mh_biomarker\"\u003e\n\u003csummary\u003eFree testosterone\u003c\/summary\u003e\n\u003cdiv class=\"mh_biomarker_body\"\u003e\n\u003cp\u003eFree testosterone represents the small fraction of testosterone that is not tightly bound to SHBG or albumin and is available to tissues.\u003c\/p\u003e\n\u003cp\u003eDepending on the laboratory, free testosterone may be measured directly or calculated using total testosterone, SHBG and albumin. The report should state the method used.\u003c\/p\u003e\n\u003cdiv class=\"mh_subnote\"\u003e\n\u003cstrong\u003eBefore testing\u003c\/strong\u003e\n\u003cp\u003eCollect in the morning, ideally between 9 am and 11 am, when physiologically well. Follow the kit fasting instructions. Record testosterone, anabolic steroids, opioids, glucocorticoids, anticonvulsants, fertility medicines and hormone gel exposure.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003ch4\u003eHow to understand this result\u003c\/h4\u003e\n\u003cdiv class=\"mh_table_wrap\"\u003e\n\u003ctable class=\"mh_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eResult\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat it may mean\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat to do\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_low\"\u003eLow\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay support reduced androgen availability when compatible symptoms are present. Causes may be testicular, pituitary, hypothalamic, medicine related, metabolic or systemic.\u003c\/td\u003e\n\u003ctd\u003eConfirm the finding with clinical assessment and appropriate repeat testing.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_normal\"\u003eNormal\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eFalls within the laboratory interval.\u003c\/td\u003e\n\u003ctd\u003ePersistent symptoms may still require evaluation for sleep, mood, thyroid, vascular, medicine or other causes.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_high\"\u003eHigh\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay reflect testosterone treatment, anabolic steroid use, low SHBG, assay factors or less common endocrine conditions.\u003c\/td\u003e\n\u003ctd\u003eDiscuss an unexpected result with a clinician.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/details\u003e\n\u003cdetails class=\"mh_biomarker\"\u003e\n\u003csummary\u003eDehydroepiandrosterone sulphate\u003c\/summary\u003e\n\u003cdiv class=\"mh_biomarker_body\"\u003e\n\u003cp\u003eDehydroepiandrosterone sulphate, known as DHEAS, is a weak androgen produced mainly by the adrenal cortex. Blood levels are relatively stable through the day and decline with age.\u003c\/p\u003e\n\u003cp\u003eDHEAS provides adrenal androgen context. It is not a test for stress, adrenal fatigue or complete adrenal function and should not be interpreted independently of age, symptoms, medicines and other hormone results.\u003c\/p\u003e\n\u003cdiv class=\"mh_subnote\"\u003e\n\u003cstrong\u003eBefore testing\u003c\/strong\u003e\n\u003cp\u003eRecord DHEA, pregnenolone, testosterone, anabolic steroids, glucocorticoids and supplements marketed for energy, ageing or hormone support.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003ch4\u003eHow to understand this result\u003c\/h4\u003e\n\u003cdiv class=\"mh_table_wrap\"\u003e\n\u003ctable class=\"mh_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eResult\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat it may mean\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat to do\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_low\"\u003eLow\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay occur with age, glucocorticoid treatment, reduced adrenal androgen production, pituitary disease or chronic illness.\u003c\/td\u003e\n\u003ctd\u003eDiscuss the result with a clinician when symptoms or other hormone abnormalities are present.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_normal\"\u003eNormal\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eFalls within the age and sex adjusted laboratory interval.\u003c\/td\u003e\n\u003ctd\u003eA normal result does not exclude every adrenal or endocrine condition.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_high\"\u003eHigh\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay reflect DHEA supplements, assay variation or increased adrenal androgen production. Marked elevations are uncommon.\u003c\/td\u003e\n\u003ctd\u003eStop non prescribed DHEA and discuss an unexplained or substantial elevation with a doctor.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/details\u003e\n\u003cdetails class=\"mh_biomarker\"\u003e\n\u003csummary\u003eSex hormone binding globulin\u003c\/summary\u003e\n\u003cdiv class=\"mh_biomarker_body\"\u003e\n\u003cp\u003eSex hormone binding globulin, known as SHBG, is produced mainly by the liver and binds testosterone in the circulation.\u003c\/p\u003e\n\u003cp\u003eSHBG changes the relationship between total and free testosterone. A total testosterone result can appear lower or higher depending on the SHBG concentration.\u003c\/p\u003e\n\u003cdiv class=\"mh_subnote\"\u003e\n\u003cstrong\u003eBefore testing\u003c\/strong\u003e\n\u003cp\u003eCollect in the morning, ideally between 9 am and 11 am, when physiologically well. Follow the kit fasting instructions. Record testosterone, anabolic steroids, opioids, glucocorticoids, anticonvulsants, fertility medicines and hormone gel exposure.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003ch4\u003eHow to understand this result\u003c\/h4\u003e\n\u003cdiv class=\"mh_table_wrap\"\u003e\n\u003ctable class=\"mh_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eResult\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat it may mean\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat to do\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_low\"\u003eLow\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay occur with obesity, insulin resistance, an underactive thyroid, androgen exposure, liver factors or some medicines.\u003c\/td\u003e\n\u003ctd\u003eInterpret total testosterone with free testosterone and the wider metabolic context.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_normal\"\u003eNormal\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eFalls within the laboratory interval.\u003c\/td\u003e\n\u003ctd\u003eUse it with total testosterone and albumin where free testosterone is calculated.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_high\"\u003eHigh\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay occur with ageing, an overactive thyroid, liver disease, oestrogen exposure, some medicines or low body weight.\u003c\/td\u003e\n\u003ctd\u003eDiscuss the complete hormone pattern with a clinician.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/details\u003e\n\u003cdetails class=\"mh_biomarker\"\u003e\n\u003csummary\u003eProlactin\u003c\/summary\u003e\n\u003cdiv class=\"mh_biomarker_body\"\u003e\n\u003cp\u003eProlactin is produced by the pituitary gland. When persistently raised in men it can suppress LH and FSH, reduce testosterone and contribute to reduced libido, erectile dysfunction, breast changes or fertility problems.\u003c\/p\u003e\n\u003cp\u003eStress, exercise, sleep, sexual activity, medicines, hypothyroidism, kidney disease and pituitary conditions can affect the result.\u003c\/p\u003e\n\u003cdiv class=\"mh_subnote\"\u003e\n\u003cstrong\u003eBefore testing\u003c\/strong\u003e\n\u003cp\u003eCollect after a calm period where possible. Avoid unusually strenuous exercise. Record antipsychotics, antidepressants, anti-sickness medicines, opioids and dopamine agonists.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003ch4\u003eHow to understand this result\u003c\/h4\u003e\n\u003cdiv class=\"mh_table_wrap\"\u003e\n\u003ctable class=\"mh_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eResult\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat it may mean\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat to do\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_low\"\u003eLow\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eOften not clinically significant but may occur with dopamine agonist treatment or reduced pituitary function.\u003c\/td\u003e\n\u003ctd\u003eDiscuss it if other pituitary hormones are abnormal.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_normal\"\u003eNormal\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eFalls within the laboratory interval.\u003c\/td\u003e\n\u003ctd\u003eMakes clinically significant hyperprolactinaemia less likely.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_high\"\u003eHigh\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay be temporary or related to medicines, stress, hypothyroidism, kidney disease or pituitary disease.\u003c\/td\u003e\n\u003ctd\u003eMild elevations are often repeated after resting and reviewing medicines.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_critical\"\u003eCritical high\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eA markedly raised result requires prompt assessment, particularly with headache, visual change, breast discharge or low testosterone.\u003c\/td\u003e\n\u003ctd\u003eFollow the urgent laboratory instruction.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/details\u003e\n\u003cdetails class=\"mh_biomarker\"\u003e\n\u003csummary\u003eTotal testosterone\u003c\/summary\u003e\n\u003cdiv class=\"mh_biomarker_body\"\u003e\n\u003cp\u003eTotal testosterone measures testosterone circulating in protein bound and unbound forms. It is the usual first laboratory test when testosterone deficiency is suspected.\u003c\/p\u003e\n\u003cp\u003eA diagnosis cannot be made from symptoms or one result alone. UK pathways generally require compatible symptoms and two separate low morning testosterone results while the person is well.\u003c\/p\u003e\n\u003cdiv class=\"mh_subnote\"\u003e\n\u003cstrong\u003eFertility caution\u003c\/strong\u003e\n\u003cp\u003eTestosterone replacement can suppress sperm production. Fertility intentions should be discussed before treatment is started or changed.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"mh_subnote\"\u003e\n\u003cstrong\u003eBefore testing\u003c\/strong\u003e\n\u003cp\u003eCollect in the morning, ideally between 9 am and 11 am, when physiologically well. Follow the kit fasting instructions. Record testosterone, anabolic steroids, opioids, glucocorticoids, anticonvulsants, fertility medicines and hormone gel exposure.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003ch4\u003eHow to understand this result\u003c\/h4\u003e\n\u003cdiv class=\"mh_table_wrap\"\u003e\n\u003ctable class=\"mh_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eResult\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat it may mean\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat to do\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_low\"\u003eLow\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay occur with primary testicular dysfunction, pituitary or hypothalamic suppression, obesity, acute illness, sleep disruption, medicines, anabolic steroid withdrawal or systemic disease.\u003c\/td\u003e\n\u003ctd\u003eRepeat on a separate morning and interpret with LH, FSH, SHBG, free testosterone and prolactin.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_normal\"\u003eNormal\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eFalls within the laboratory reference interval.\u003c\/td\u003e\n\u003ctd\u003ePersistent symptoms may have another cause and still merit clinical assessment.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_high\"\u003eHigh\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMost often reflects prescribed testosterone, anabolic steroids, supplements containing hormones or assay factors. Less common endocrine causes are possible.\u003c\/td\u003e\n\u003ctd\u003eDiscuss an unexpected result and all hormone products with a clinician.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/details\u003e\n\u003cdetails class=\"mh_biomarker\"\u003e\n\u003csummary\u003eFollicle stimulating hormone\u003c\/summary\u003e\n\u003cdiv class=\"mh_biomarker_body\"\u003e\n\u003cp\u003eFollicle stimulating hormone, known as FSH, is released by the pituitary gland. In men it acts on Sertoli cells and supports sperm production.\u003c\/p\u003e\n\u003cp\u003eFSH can provide context where a semen analysis is abnormal or testosterone is low. It cannot measure sperm count, movement or shape.\u003c\/p\u003e\n\u003cdiv class=\"mh_subnote\"\u003e\n\u003cstrong\u003eBefore testing\u003c\/strong\u003e\n\u003cp\u003eCollect in the morning, ideally between 9 am and 11 am, when physiologically well. Follow the kit fasting instructions. Record testosterone, anabolic steroids, opioids, glucocorticoids, anticonvulsants, fertility medicines and hormone gel exposure.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003ch4\u003eHow to understand this result\u003c\/h4\u003e\n\u003cdiv class=\"mh_table_wrap\"\u003e\n\u003ctable class=\"mh_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eResult\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat it may mean\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat to do\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_low\"\u003eLow\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay occur with pituitary or hypothalamic suppression, testosterone or anabolic steroid use, acute illness or some medicines.\u003c\/td\u003e\n\u003ctd\u003eInterpret it with LH, testosterone, prolactin and fertility history.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_normal\"\u003eNormal\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eFalls within the laboratory interval.\u003c\/td\u003e\n\u003ctd\u003eA normal FSH does not prove that semen quality is normal.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"mh_status mh_high\"\u003eHigh\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay suggest reduced sperm producing function or broader testicular dysfunction, particularly when semen analysis is abnormal.\u003c\/td\u003e\n\u003ctd\u003eDiscuss fertility concerns with a GP, urologist or fertility specialist.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/details\u003e\n\u003c\/section\u003e\n\u003csection id=\"content-standards\" class=\"mh_section\"\u003e\n\u003cp class=\"mh_eyebrow\"\u003eContent standards\u003c\/p\u003e\n\u003ch3\u003eHow this product information was prepared\u003c\/h3\u003e\n\u003cp\u003eThis page was prepared from the supplied nine marker complete male hormone specification and expanded using current UK guidance on testosterone timing, repeat testing, fertility assessment, prolactin, DHEAS, SHBG and treatment safety.\u003c\/p\u003e\n\u003cdiv class=\"mh_method_grid\"\u003e\n\u003cdiv class=\"mh_method_item\"\u003e\n\u003cstrong\u003ePrimary product information\u003c\/strong\u003e \u003cspan\u003eThe supplied biomarkers, descriptions, preparation points, interpretation categories and product code.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"mh_method_item\"\u003e\n\u003cstrong\u003eUK clinical references\u003c\/strong\u003e \u003cspan\u003eNICE and NHS guidance used for morning testosterone testing, semen analysis, prolactin, SHBG, FAI and DHEAS.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"mh_method_item\"\u003e\n\u003cstrong\u003eClinical boundaries\u003c\/strong\u003e \u003cspan\u003eThe page distinguishes hormone context from diagnosis of infertility, testosterone deficiency, erectile dysfunction or adrenal disease.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"mh_method_item\"\u003e\n\u003cstrong\u003eReview policy\u003c\/strong\u003e \u003cspan\u003eMedical and editorial review at least annually and earlier when biomarkers, laboratory methods or UK guidance changes.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\u003csection id=\"medical-review\" class=\"mh_section\"\u003e\n\u003cp class=\"mh_eyebrow\"\u003eExpert review\u003c\/p\u003e\n\u003ch3\u003eMedical and editorial review\u003c\/h3\u003e\n\u003cp\u003eThis product information has been reviewed for male hormone context, fertility limitations, morning collection, adrenal androgen interpretation, medicine and treatment safety and urgent symptoms.\u003c\/p\u003e\n\u003cp\u003eThe reviewers are not presented as consultant endocrinologists, urologists or fertility specialists. This review does not replace individual assessment by an appropriately qualified clinician.\u003c\/p\u003e\n\u003cdiv class=\"mh_review_grid\"\u003e\n\u003carticle class=\"mh_review_card\"\u003e\n\u003cdiv class=\"mh_review_card_top\"\u003e\n\u003cdiv role=\"img\" class=\"mh_review_avatar mh_review_avatar_rimas\" aria-label=\"Portrait of Dr Rimas Geiga\"\u003e\u003cbr\u003e\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cspan class=\"mh_review_label\"\u003eMedical review\u003c\/span\u003e\n\u003ch4 class=\"mh_review_name\"\u003eDr Rimas Geiga\u003c\/h4\u003e\n\u003cp class=\"mh_review_title\"\u003eMedical Doctor, Nutritional Sciences Adviser and Healthy Ageing Expert\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp class=\"mh_review_scope\"\u003eReviewed testosterone, metabolic and healthy ageing context, preparation factors and responsible discussion of supplements and lifestyle.\u003c\/p\u003e\n\u003ca href=\"https:\/\/ht10f0-c0.myshopify.com\/pages\/dr-rimas-geiga-medical-doctor-nutritional-sciences-adviser-and-healthy-ageing-expert\" class=\"mh_review_link\"\u003eView professional profile\u003c\/a\u003e\u003c\/article\u003e\n\u003carticle class=\"mh_review_card\"\u003e\n\u003cdiv class=\"mh_review_card_top\"\u003e\n\u003cdiv role=\"img\" class=\"mh_review_avatar mh_review_avatar_snieguole\" aria-label=\"Portrait of Dr Snieguole Geige\"\u003e\u003cbr\u003e\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cspan class=\"mh_review_label\"\u003eMedical review\u003c\/span\u003e\n\u003ch4 class=\"mh_review_name\"\u003eDr Snieguole Geige\u003c\/h4\u003e\n\u003cp class=\"mh_review_title\"\u003eDentist, Medical Doctor and Senior Adviser\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp class=\"mh_review_scope\"\u003eReviewed the general reproductive and endocrine boundaries, fertility communication and guidance on when direct clinical assessment is required.\u003c\/p\u003e\n\u003ca href=\"https:\/\/ht10f0-c0.myshopify.com\/pages\/dr-snieguole-geige-dentist-medical-doctor-and-senior-adviser\" class=\"mh_review_link\"\u003eView professional profile\u003c\/a\u003e\u003c\/article\u003e\n\u003carticle class=\"mh_review_card\"\u003e\n\u003cdiv class=\"mh_review_card_top\"\u003e\n\u003cdiv role=\"img\" class=\"mh_review_avatar mh_review_avatar_veronika\" aria-label=\"Portrait of Veronika Matutyte\"\u003e\u003cbr\u003e\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cspan class=\"mh_review_label\"\u003eClinical and safety review\u003c\/span\u003e\n\u003ch4 class=\"mh_review_name\"\u003eVeronika Matutyte\u003c\/h4\u003e\n\u003cp class=\"mh_review_title\"\u003eMedical Doctor and Healthcare Management Expert\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp class=\"mh_review_scope\"\u003eReviewed urgent testicular and pituitary symptoms, hormone treatment cautions, repeat testing, DHEAS limitations and home pathway safety.\u003c\/p\u003e\n\u003ca href=\"https:\/\/ht10f0-c0.myshopify.com\/pages\/veronika-matutyte-medical-doctor-and-healthcare-management-expert\" class=\"mh_review_link\"\u003eView professional profile\u003c\/a\u003e\u003c\/article\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"mh_review_meta\"\u003e\n\u003cdiv\u003e\n\u003cstrong\u003eLast medically reviewed\u003c\/strong\u003e \u003cspan\u003e26 July 2026\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cstrong\u003eReview cycle\u003c\/strong\u003e \u003cspan\u003eAt least once each year\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cstrong\u003eEarlier review\u003c\/strong\u003e \u003cspan\u003eWhen testosterone pathways, fertility guidance, laboratory methods or safety advice changes\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp class=\"mh_board_link\"\u003e\u003ca href=\"https:\/\/ht10f0-c0.myshopify.com\/pages\/medical-advisory-board\"\u003eMeet the Grace Belgravia Medical Advisory Board\u003c\/a\u003e\u003c\/p\u003e\n\u003c\/section\u003e\n\u003csection class=\"mh_section mh_sources\"\u003e\n\u003cp class=\"mh_eyebrow\"\u003eFurther reading\u003c\/p\u003e\n\u003ch3\u003eAuthoritative UK male hormone and fertility information\u003c\/h3\u003e\n\u003cp\u003eThese resources provide additional context. They do not replace the reference intervals, comments or urgent instructions supplied with your laboratory report.\u003c\/p\u003e\n\u003cdetails\u003e\n\u003csummary\u003eView NICE and NHS references\u003c\/summary\u003e\n\u003cdiv class=\"mh_sources_body\"\u003e\n\u003cul\u003e\n\u003cli\u003e\u003ca href=\"https:\/\/cks.nice.org.uk\/topics\/erectile-dysfunction\/diagnosis\/assessment\/\"\u003eNICE assessment of erectile dysfunction and morning testosterone testing\u003c\/a\u003e\u003c\/li\u003e\n\u003cli\u003e\u003ca href=\"https:\/\/www.nbt.nhs.uk\/sites\/default\/files\/document\/Biochemical%20Investigation%20of%20Suspected%20Endocrine%20Problems%20in%20Males.pdf\"\u003eNHS biochemical investigation of suspected endocrine problems in men\u003c\/a\u003e\u003c\/li\u003e\n\u003cli\u003e\u003ca href=\"https:\/\/www.nhs.uk\/conditions\/low-sperm-count\/\"\u003eNHS low sperm count and semen analysis guidance\u003c\/a\u003e\u003c\/li\u003e\n\u003cli\u003e\u003ca href=\"https:\/\/www.gloshospitals.nhs.uk\/our-services\/services-we-offer\/pathology\/tests-and-investigations\/prolactin\/\"\u003eNHS prolactin testing information\u003c\/a\u003e\u003c\/li\u003e\n\u003cli\u003e\u003ca href=\"https:\/\/www.southtees.nhs.uk\/services\/pathology\/tests\/sex-hormone-binding-globulin\/\"\u003eNHS SHBG test information\u003c\/a\u003e\u003c\/li\u003e\n\u003cli\u003e\u003ca href=\"https:\/\/sheffieldlaboratorymedicine.nhs.uk\/search-test.php?search=3114\"\u003eNHS DHEAS laboratory information\u003c\/a\u003e\u003c\/li\u003e\n\u003cli\u003e\u003ca href=\"https:\/\/www.gloshospitals.nhs.uk\/our-services\/services-we-offer\/pathology\/tests-and-investigations\/free-androgen-index-fai\/\"\u003eNHS free androgen index information\u003c\/a\u003e\u003c\/li\u003e\n\u003cli\u003e\u003ca href=\"https:\/\/www.nice.org.uk\/guidance\/ng257\"\u003eNICE fertility problems assessment and treatment\u003c\/a\u003e\u003c\/li\u003e\n\u003cli\u003e\u003ca href=\"https:\/\/www.ukas.com\/accreditation\/standards\/medical-laboratory-accreditation\/\"\u003eUKAS medical laboratory accreditation\u003c\/a\u003e\u003c\/li\u003e\n\u003cli\u003e\u003ca href=\"https:\/\/www.cqc.org.uk\/guidance-regulation\/providers\/registration\/scope-registration\/regulated-activities\/diagnostic-and-screening-procedures\"\u003eCQC diagnostic and screening services guidance\u003c\/a\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/details\u003e\n\u003c\/section\u003e\n\u003csection class=\"mh_section mh_faq\"\u003e\n\u003cp class=\"mh_eyebrow\"\u003eSearch led questions\u003c\/p\u003e\n\u003ch3\u003eHome testosterone and complete male hormone test FAQs\u003c\/h3\u003e\n\u003cdetails\u003e\n\u003csummary\u003eCan I test testosterone at home?\u003c\/summary\u003e\n\u003cp\u003eYes. This kit uses a capillary blood sample collected at home and returned for laboratory analysis. A home result can provide useful hormone context, but it cannot diagnose testosterone deficiency by itself.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhat does a complete male hormone blood test check?\u003c\/summary\u003e\n\u003cp\u003eThis panel checks total testosterone, free testosterone, SHBG, albumin, calculated free androgen index, LH, FSH, prolactin and DHEAS.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhat is the best time for a testosterone blood test?\u003c\/summary\u003e\n\u003cp\u003eCollect in the morning, ideally between 9 am and 11 am, because testosterone follows a daily rhythm and is usually higher earlier in the day.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eDo I need to fast for a male hormone test?\u003c\/summary\u003e\n\u003cp\u003eFor the most comparable testosterone result, UK pathways commonly use a morning fasting sample. Plain water is normally allowed. Follow the kit instructions.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eCan one blood test diagnose low testosterone?\u003c\/summary\u003e\n\u003cp\u003eNo. Diagnosis requires compatible symptoms and usually two separate low morning testosterone results, alongside clinical assessment and investigation of the cause.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhat is the difference between total and free testosterone?\u003c\/summary\u003e\n\u003cp\u003eTotal testosterone includes protein bound and unbound testosterone. Free testosterone estimates the smaller fraction available to tissues and is interpreted with SHBG and albumin.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhat is free androgen index?\u003c\/summary\u003e\n\u003cp\u003eFree androgen index is calculated as total testosterone divided by SHBG, multiplied by 100. It is used more commonly when assessing androgen excess in women and is less reliable for evaluating testosterone status in men than a validated calculated free testosterone method.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eCan free androgen index diagnose low testosterone in men?\u003c\/summary\u003e\n\u003cp\u003eNo. FAI should not be used alone to diagnose male testosterone deficiency or determine testosterone treatment. Total testosterone, symptoms, repeat morning testing and an appropriate free testosterone method are more relevant.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhat do LH and FSH show in men?\u003c\/summary\u003e\n\u003cp\u003eLH stimulates testosterone production in the testes. FSH supports the cells involved in sperm production. Their pattern may help distinguish a possible testicular problem from a pituitary or hypothalamic cause.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eDoes this test check male fertility?\u003c\/summary\u003e\n\u003cp\u003eIt provides reproductive hormone context, but it is not a fertility diagnosis. The main test for sperm count, movement and shape is a semen analysis.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eCan testosterone treatment reduce fertility?\u003c\/summary\u003e\n\u003cp\u003eYes. Testosterone replacement can suppress LH and FSH and reduce sperm production. Fertility intentions should be discussed before treatment is started or changed.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhat is DHEAS?\u003c\/summary\u003e\n\u003cp\u003eDHEAS is a weak androgen produced mainly by the adrenal glands. It provides adrenal androgen context but does not measure stress, adrenal fatigue or overall adrenal function.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhat does a high DHEAS result mean in a man?\u003c\/summary\u003e\n\u003cp\u003eA raised result may reflect supplements, age related variation, laboratory factors or increased adrenal androgen production. A markedly raised or unexplained result requires medical review.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhat does a high prolactin result mean?\u003c\/summary\u003e\n\u003cp\u003eRaised prolactin can occur because of stress, exercise, medicines, hypothyroidism, kidney disease or a pituitary condition. Mild elevations may need repeating under controlled conditions.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eCan stress or exercise affect prolactin?\u003c\/summary\u003e\n\u003cp\u003eYes. Stress from collection, strenuous exercise, poor sleep, sexual activity and some medicines can temporarily raise prolactin.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhy are SHBG and albumin included?\u003c\/summary\u003e\n\u003cp\u003eSHBG and albumin carry testosterone in the blood and help explain the relationship between total and free testosterone. Albumin also provides limited general context on hydration, liver function and kidney protein loss.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eCan biotin affect male hormone tests?\u003c\/summary\u003e\n\u003cp\u003eYes. High dose biotin, which is vitamin B7, can interfere with some laboratory hormone assays. Ask the testing service or a clinician whether it should be paused.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eCan illness, poor sleep or weight change affect testosterone?\u003c\/summary\u003e\n\u003cp\u003eYes. Acute illness, sleep disruption, major calorie restriction, significant weight change, overtraining, alcohol and some medicines can alter testosterone.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhen should the test be repeated?\u003c\/summary\u003e\n\u003cp\u003eA low or borderline testosterone result is usually repeated on a separate morning before diagnosis. Other abnormal markers may also be repeated after controlling for timing, illness, stress or medicines.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhen should symptoms be treated as urgent?\u003c\/summary\u003e\n\u003cp\u003eSeek urgent medical help for sudden severe testicular pain, a new testicular lump, severe headache with visual changes, collapse, severe breathlessness or another rapidly worsening symptom.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eAre the laboratories UKAS accredited and CQC registered?\u003c\/summary\u003e\n\u003cp\u003eSamples are processed through UKAS accredited laboratories within a CQC registered diagnostic pathway. Collection equipment is UKCA and CE marked and supported by an ISO 13485 quality management framework.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003c\/section\u003e\n\u003csection class=\"mh_footer_note\"\u003e\n\u003ch3\u003eMedical guidance\u003c\/h3\u003e\n\u003cp\u003e\u003cstrong\u003eDo not wait for a home test if symptoms feel urgent.\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eSeek urgent medical help for sudden severe testicular pain, a new testicular lump, severe headache with visual changes, collapse, severe breathlessness, unexplained breast discharge or another rapidly worsening symptom.\u003c\/p\u003e\n\u003cp\u003eThis product provides selected male hormone context. It cannot diagnose infertility, testosterone deficiency, erectile dysfunction, pituitary disease, testicular disease or adrenal disease without wider assessment.\u003c\/p\u003e\n\u003c\/section\u003e\n\u003c\/article\u003e","brand":"My Store","offers":[{"title":"Default Title","offer_id":54410454303059,"sku":"489-complete-male-hormon","price":109.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/1088\/7918\/4211\/files\/Home_Testosterone_Test_Kit_UK_-_Complete_Male_Hormone_Panel.png?v=1785153194","url":"https:\/\/gracebelgravia.com\/products\/complete-male-hormones","provider":"Grace Belgravia","version":"1.0","type":"link"}