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Hormones

Testosterone Test (Total)


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What this test measures

This test measures the total amount of testosterone circulating in the bloodstream. Testosterone is the primary androgen (sex hormone) in men, produced mainly by the Leydig cells in the testes. Women also produce testosterone in smaller quantities through the ovaries and adrenal glands. The total measurement captures both bound and unbound hormone: the majority of circulating testosterone travels attached to sex hormone-binding globulin (SHBG) and albumin, while a small fraction circulates freely.

Testosterone drives the development and maintenance of male physical characteristics and plays important roles in both sexes, supporting muscle mass and strength, bone density, red blood cell production, libido, mood regulation, and energy levels. Levels naturally fluctuate throughout the day, peaking in the early morning and declining into the evening. This test provides a foundational assessment of hormonal status and can help identify imbalances that may be contributing to symptoms like persistent fatigue, reduced motivation, changes in body composition, or diminished sexual function.

Who should consider this test

You might consider this test if you are experiencing any of the following:

  • Men experiencing decreased energy, low sex drive, or changes in mood that may indicate hormonal imbalance
  • Individuals noticing changes in muscle mass, strength, or physical endurance
  • People dealing with unexplained fatigue, difficulty concentrating, or sleep disturbances
  • Men concerned about fertility or reproductive health issues
  • Those experiencing symptoms like irritability, depression, or loss of motivation
  • Individuals wanting to establish baseline hormone levels for future health monitoring

What to expect

Preparation

No special preparation is needed. Morning testing is preferred as testosterone levels are typically highest then, though this becomes less important with age.

Sample Type

A simple blood draw from a vein in your arm, similar to routine blood work

Collection

Visit any participating lab location with a photo ID. The blood draw takes just a few minutes

Turnaround

Results are typically available within 1-3 business days and delivered securely online

Understanding your results

Normal testosterone ranges vary by age, sex, and laboratory methodology, so results should always be compared to the reference range printed on the same report. Timing matters: testosterone levels in young men can be roughly 50% higher in the early morning than in the evening, and readings can fluctuate meaningfully from one day to the next. For this reason, healthcare providers may recommend a repeat morning draw before concluding that levels are abnormal. Results are interpreted alongside symptoms and, when warranted, additional markers like free testosterone and SHBG.

PopulationReference RangeNotes
Adult men (19-39 years)264-916 ng/dLBased on harmonized reference standards from multiple studies
Adult men (general)300-1000 ng/dLMay vary by laboratory and age
Adult women (premenopausal)10-55 ng/dLVaries with menstrual cycle
Adult women (postmenopausal)7-40 ng/dLLevels typically decrease after menopause

Reference ranges shown are general guidelines. Your lab report will include the specific reference range used by the laboratory that processed your sample, which is the authoritative range for interpreting your results.

What does a “Low” result mean?

Low testosterone in women may cause subtle symptoms including decreased libido and nonspecific mood changes, while in men it results in partial or complete degrees of hypogonadism with symptoms like reduced energy and sexual function.

What does a “High” result mean?

Elevated testosterone levels in women can cause varying degrees of virilization, including hirsutism, acne, and oligomenorrhea, while in men, pronounced elevations may indicate genetic conditions, adrenal or testicular tumors, or hormone abuse.

Privacy & confidentiality

Your test results are delivered confidentially through a secure online portal accessible only to you. Results are never shared with employers, insurance companies, or third parties without your explicit consent. All testing is conducted with complete discretion and privacy.

Frequently asked questions

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Last reviewed: April 2026

CPT Code: 84403

This test may not be available in: NY, NJ, RI

This page is for informational purposes only and does not constitute medical advice. Always consult with a healthcare provider regarding any health concerns. LevelPanel does not diagnose, treat, or prescribe.

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