Female testosterone home test (sample taken in clinic)

Female testosterone home test (sample taken in clinic)

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    20-50% of women have low testosterone by the time they reach menopause

    Testosterone is a powerful hormone that drives numerous vital functions. Yes, it is vital for muscle and strength but it is a lot more than that it helps with sex drive/ libido, it makes effort enjoyable, it helps with energy, fat distribution, bone health, red blood cells and more.

    HRT and the oestrogen: progesterone: testosterone balance

    During the peri-menopause oestrogen, progesterone and testoserone levels all decline.

    This decline tends to keep the balance between all three. However, if you are on HRT oestrogen and progesterone are markedly raised in comparison testosterone affecting the natural balance.

    Image of Dr Geoff Mullan Chief Medical Officer

    Testosterone blood testing, from our experts to you

    Dr Geoff Mullan MBBS, BSc. MRCS, DO-HNS, AFMCP

    Chief Medical Director

    what is in this test

    Female testosterone testing for HRT

    Total testosterone

    It tells us the total amount of testosterone being produced.

    It does not tell us how much active testosterone is present.

    We need to look at other markers to calculate the active level.

    Free testosterone

    • Definition: Free testosterone is the fraction of testosterone that is unbound to any proteins in the blood. It's biologically active and available for the body to use.
    • Importance: This measurement is significant because it represents the portion of testosterone readily accessible to tissues and can actively influence bodily functions.
    • Measurement: Free testosterone is measured based on total testosterone, SHBG (Sex Hormone-Binding Globulin), and albumin levels.

    Free androgen index FAI

    • Definition: The Free Androgen Index is a calculated ratio that estimates the amount of free (unbound) testosterone in relation to the total testosterone and SHBG levels. It is calculated as Total Testosterone (measured in nmol/L) divided by SHBG (nmol/L) and then multiplied by 100.
    • Purpose: FAI is used as an indirect measure of free testosterone. We add it as you may have had this test done before and find it helpful.
    • NOte: The FAI is not as accurate a measurement as your Free testosterone score.

    Sex hormone-binding globulin SHBG

    Sex Hormone-Binding Globulin (SHBG) is a key protein in the body that plays a crucial role in regulating the availability of sex hormones, particularly testosterone and oestrogen.

    When it is very high less active testosterone is available. Instead of increasing testosterone it may be beneficial to reduce SHBG levels instead for example.

    Function:

    • SHBG binds to sex hormones, specifically testosterone and oestrogen. Its primary role is to transport these hormones in the blood in a biologically inactive form.

    Regulation of Hormone Activity:

    • Only a small fraction of testosterone and oestrogen circulates in the blood as free (unbound) hormones, which are biologically active. The majority are bound to proteins like SHBG and to a lesser extent, albumin.
    • By binding to these hormones, SHBG regulates their availability to tissues and cells. It effectively controls how much of these hormones are free to interact with receptors in the body.

    Factors Affecting SHBG Levels:

    • SHBG levels can be influenced by various factors, including age, liver function, body weight, and certain medical conditions.
    • Hormones like insulin, thyroid hormones, and oestrogen can also affect SHBG levels.

    Albumin

    This is the other protein in the blood that binds testosterone and is used to calculate an accurate active tesosterone level.

    Pre-menopause, women have approximately x4 more testosterone than oestrogen

    • Testosterone levels

      In premenopausal women, normal total testosterone levels typically range from about 0.3 to 2.4 nmol/L.

      Testosterone is produced primarily by the ovaries and the adrenal glands.

    • Oestrogen levels

      Oestrogen levels fluctuate throughout the menstrual cycle. The most potent estrogen, oestradiol, varies from approximately 0.1 to 0.6 nmol/L during the menstrual cycle, peaking just before ovulation.

      The units they are normally measured in are different

    • Comparing oestrogen and testosterone

      To compare estrogen and testosterone levels, you would ideally want them in comparable units. Since 0estrogen is measured in pmol/L and testosterone in nmol/L, you can convert one to the other's units for direct comparison. Conversion: Testosterone (pmol/L) = Testosterone (nmol/L) × 1000.

    • Lifestyle

      Exercise, Especially Strength Training: high-intensity interval training (HIIT), can boost testosterone levels.

      Healthy Diet: A balanced diet rich in protein, healthy fats, and essential nutrients supports testosterone production.

      Adequate Sleep: Quality sleep is crucial for testosterone production.

      Stress Reduction: Chronic stress elevates cortisol levels and reduces testosterone production.

    • HRT with testosterone

      Often HRT issues are put down to oestrogen replacement being low. It's difficult to gauge from a blood test as the variation in receptor sensitivity can be significant.

      Often oestrogen is increased, making the balance worse when actually what is needed is a small amount of testosterone.

    • Testosterone replacement

      Testosterone Replacement Therapy (TRT):

      TRT is used to restore testosterone levels in men with low testosterone (hypogonadism).

      It reduces natural production so should only be considered after trying natural methods.

      Forms: TRT can be administered via injections, transdermal patches, gels, or subcutaneous pellets.

      Monitoring and Risks: Regular monitoring is necessary to manage potential side effects, such as increased red blood cell count and prostate health issues.

    • Testosterone and the NHS

      Although testosterone replacement is common in the US it is less so in the UK. The only indication being low lidbio.

    No finger pricks use our needle free home blood collection device

    Track and measure

    Mobile phone showing a humanpeople dashboard

    Personal dashboard

    Your results will be uploaded to your personal secure dashboard.

    You can track progress over time and optimise your essential nutrient status.

    Personal recommendations

    Your results will be integrated with your health assessment.

    One of our medical team will review these and make nutrition, lifestyle and supplement recommendations.

    Innovative blood collection device

    Use our innovative home collection device to make blood collection simple and easy to do at home.

    See the video below to see it in action.

    What do we measure?

    Total testosteron

    Test and track

    Track your levels on your personalised dashboard

    Recommendations

    Get recommendations based on your results

    Boost

    Increase your health and longevity

    frequently asked questions

    FAQ

    Does the blood test hurt?

    No, the blood test really is painless. It doesn't even use needles!

    When will I get my results?

    Results are back within 5 working days, but we can often do a lot quicker than that. The exception is omega 3 which needs to go to a specialist lab. and results can take a few weeks.

    Will you really send a video explaining my results at no extra cost?

    Yes! We make it simple to understand your results and recommendations by sending a video of a Doctor explaining them.

    Is humanpeople a registered and regulated company?

    Yes. Unlike a lot of other blood testing companies in the UK. humanpeople is registered with the CQC as a health and diagnostic company.

    That means we are reviewed and must follow strict UK guidelines on giving results and advice.

    The labs. we use are also regulated by CQC.

    You can check out our registration details here.

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