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Alternative Names Return to topSerum testosterone
Definition Return to top
A testosterone test measures the amount of the male hormone, testosterone, in the blood.
How the Test is Performed Return to top
Blood is typically drawn from a vein, usually from the inside of the elbow or the back of the hand. The site is cleaned with germ-killing medicine (antiseptic). The health care provider wraps an elastic band around the upper arm to apply pressure to the area and make the vein swell with blood.
Next, the health care provider gently inserts a needle into the vein. The blood collects into an airtight vial or tube attached to the needle. The elastic band is removed from your arm. Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding.
In infants or young children, a sharp tool called a lancet may be used to puncture the skin and make it bleed. The blood collects into a small glass tube called a pipette, or onto a slide or test strip. A bandage may be placed over the area if there is any bleeding.
How to Prepare for the Test Return to top
The health care provider may advise you to stop taking drugs that may affect the test.
How the Test Will Feel Return to top
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 Return to top
This test may be done if you have symptoms of abnormal male hormone (androgen) production.
In males, the testes produce most of the circulating testosterone. The hormone LH from the pituitary gland stimulates the Leydig cells in the testicles to produce testosterone.
In females, the ovaries produce most of the testosterone. The adrenal cortex produces another male hormone, called DHEAS.
Testosterone levels are used to assess:
Normal Results Return to top
Note: ng/dL = nanograms per deciliter
Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.
What Abnormal Results Mean Return to top
Increased production of testosterone:
Decreased production of testosterone:
Risks Return to top
Veins and arteries vary in size from one patient to another and from one side of the body to the other. Obtaining a blood sample from some people may be more difficult than from others.
Other risks associated with having blood drawn are slight, but may include:
Considerations Return to top
More sensitive tests can not only measure the total amount of testosterone in the blood, but can also determine how much of that total amount is "free" or "bioavailable" testosterone.Update Date: 3/18/2008 Updated by: Elizabeth H. Holt, MD, PhD, Assistant Professor of Medicine, Section of Endocrinology and Metabolism, Yale University. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.