What is Free Testosterone?

This informative article presents an overview of Free Testosterone (FTE) with referenced scientific peer-reviewed literature. We intend to show how the DBC FTE ELISA Kit can be used in combination with other clinical and laboratory data to aid physicians in the diagnosis of conditions associated with the excess of androgens in females or deficiency of androgens in males.

WHAT IS FREE TESTOSTERONE?

The word “testosterone” is only 65 years old, however, testosterone itself has drawn the attention of the scientific community for over 150 years1.

Testosterone molecule

Chemical structure of Testosterone. Molecular Formula: C19H28O2

Origin: Testosterone is a potent androgenic steroid and major product secreted by the Leydig Cells2 of the testis and the adrenal cortex gland in men and from the adrenal cortex and ovaries in women3. It is known as a male sex hormone (androgen).

Feedback Loop: The anterior pituitary gland at the base of the brain controls the amounts of testosterone in the blood in men. When testosterone levels are enhanced, the pituitary gland reduces production. Interestingly, the secretion of testosterone is managed by the negative feedback loop: it requires the participation of luteinizing hormone (LH) and follicle-stimulating hormone (FSH)2.

What is the difference between Free Testosterone and Total Testosterone?

Approximately 98% of the testosterone that your body produces is bound to sex hormone binding globulin (60–80%), albumin and cortisol binding globulin4. The 2% that is left is known as "free testosterone". It is important to remember that while still under investigation, most researchers accept free testosterone determination as a measure of the biologically active fraction.

Free Testosterone Range (DBC FTE ELISA)

The accuracy of DBC’s Free Testosterone ELISA is supported by a reference interval study, performed according to the Clinical and Laboratory Standards Institute (CLSI) by scientists of the University Health Network (Toronto)5.

For example, in this scientific study, serum samples were collected from outpatients for routine physical testing (n=233 females; n=253 males).

  • Researchers reported a set of reference intervals for free testosterone analyte in both males and females in the following age cohorts (20–39, 40–59, and ≥60).
  • Researchers concluded that the DBC FTE ELISA kit "should be suitable for investigating hyperandrogenism in females".
  • This data further supports the diagnostic performance of the DBC ELISA kit as an aid to physicians in diagnosing conditions associated with hyperandrogenism, e.g., hirsutism.

Key Takeaways

Several studies with the DBC Free Testosterone ELISA Kit indicate that:

  1. FTE is a marker that could aid physicians in the diagnosis of Insufficient androgen production in males, mainly in middle-aged and elderly males6,7.
  2. The quantitative measurement of FTE with the DBC ELISA kit aids physicians in the diagnosis of conditions associated with hirsutism or hyperandrogenism in females.

Free testosterone continues to stimulate scientific research and its determination continues to influence the physical well-being of mankind.

Diagnostics Biochem Canada (DBC) has the Free Testosterone ELISA kit available for you. DBC is a world leader in manufacturing and is actively developing and launching more products. We strive to offer the best service to our customers around the world!

Thank you for visiting our blog today, we look forward to connecting with you!

Ordering information:  REF CAN-FTE-260

Citations

  1. Freeman ER, Bloom DA, McGuire EJ. A brief history of testosterone. J Urol. 2001;165(2):371-373. doi:10.1097/00005392-200102000-00004
  2. Chen H, Ge RS, Zirkin BR. Leydig cells: From stem cells to aging. Mol Cell Endocrinol. 2009;306(1-2):9-16. doi:10.1016/j.mce.2009.01.023
  3. Mazer NA. Testosterone deficiency in women: etiologies, diagnosis, and emerging treatments. Int J Fertil Womens Med. 2002;47(2):77-86.
  4. Page ST, Matsumoto AM, Bremner WJ. DHEA and testosterone in the elderly. N Engl J Med. 2007;356(6):635-637. doi:10.1056/NEJMc063190
  5. Shaw JLV, Blasutig I, Cheung-Hum H Li, Grossi J, Jeswani L, K, Gomba G, Yip PM (2012) Establishment of reference intervals for free testosterone using the Diagnostics Biochem Canada (DBC) direct EIA kit. Clinical Biochemistry. 45(13-14):1118.
  6. El Kholy M, Hamza RT, Saleh M, Elsedfy H. Penile length and genital anomalies in Egyptian male newborns: epidemiology and influence of endocrine disruptors. J Pediatr Endocrinol Metab. 2013;26(5-6):509-513. doi:10.1515/jpem-2012-0350
  7. El-Esawy FM, El-Rahman SH. Androgenetic alopecia as an early marker for hypertension. Egypt J Dermatol Venerol [serial online] (2013) [cited 2021 Jul 22];33:63-6. Available from: http://www.ejdv.eg.net/text.asp?2013/33/2/63/123946
Testosterone