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Testosterone Blood Test

A private testosterone blood test measuring both Total and Free testosterone the two markers you need for a complete picture of your hormone health. Doctor-reviewed results in 24–72 hours for an additional fee with no GP referral required.

Common symptoms this test investigates

Who Should Get a Private Testosterone Blood Test?

Testosterone levels decline naturally with age but in some people, levels drop earlier or more significantly than expected, causing a range of symptoms that are frequently attributed to stress, poor sleep or ‘getting older’. A private testosterone blood test gives you a clear, accurate measurement so you can understand what is actually happening in your body.

This test is particularly recommended for:

  • Men aged 30 and over who are experiencing persistent fatigue, low libido, mood changes or difficulty maintaining muscle despite exercise
  • Men who have been told their testosterone is ‘normal’ by their GP but still feel symptomatic a Total testosterone result alone can miss low Free testosterone
  • Men considering or currently using testosterone replacement therapy (TRT) who want to monitor their levels independently
  • Women experiencing symptoms of hormonal imbalance testosterone plays an important role in female energy, libido and mood, and is frequently overlooked in standard female hormone panels
  • Women with suspected or diagnosed PCOS (polycystic ovary syndrome), where elevated testosterone is a key diagnostic marker
  • Anyone who wants a baseline measurement before starting a new exercise programme, diet or supplementation protocol

The NHS does not routinely test testosterone unless symptoms are severe and a clinical case is clearly established. A private testosterone test gives you direct access to your result without the wait.
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What Does This Testosterone Blood Test Measure?

Our private testosterone blood test measures both Total testosterone and Free testosterone the two markers that together give a complete and clinically meaningful picture of your testosterone status. Testing Total testosterone alone, as the NHS typically does, can miss cases where testosterone is bound to proteins in the blood and unavailable for the body to use.

Total Testosterone

Total testosterone measures the complete amount of testosterone in your blood including both the portion bound to proteins (primarily SHBG and albumin) and the small free fraction. It is the standard starting point for testosterone assessment and gives your doctor an overall picture of your production levels. In men, normal Total testosterone ranges from approximately 8.0–29.0 nmol/L. In women, normal levels are significantly lower, at approximately 0.3–1.7 nmol/L.

Free Testosterone (Calculated)

Free testosterone is the biologically active fraction the testosterone that is not bound to proteins and is therefore available for your body’s cells to use. It is possible to have a Total testosterone result within the normal range while Free testosterone is low which explains why some people experience clear symptoms of testosterone deficiency despite being told their levels are ‘normal’ by a GP. Free testosterone is calculated from Total testosterone, SHBG and albumin values.

SHBG (Sex Hormone Binding Globulin)

SHBG is the protein that binds to testosterone in the blood, making it unavailable for use. High SHBG reduces the amount of Free testosterone available to the body meaning two people with the same Total testosterone level can have very different amounts of biologically active hormone. Testing SHBG alongside testosterone is essential for an accurate clinical picture.
Age Group
Low (nmol/L)
Normal Range (nmol/L)
Optimal (nmol/L)
Men 20–30
Below 8.0
8.0–29.0
15.0–25.0
Men 31–40
Below 7.0
7.0–26.0
13.0–23.0
Men 41–55
Below 6.0
6.0–23.0
11.0–20.0
Men 55+
Below 5.0
5.0–19.0
9.0–17.0
Women (all ages)
Below 0.3
0.3–1.7
0.5–1.4
Note: Reference ranges are approximate and may vary by laboratory. Your doctor’s report will interpret your result in the context of your individual symptoms and clinical history.

No jargon. Just clarity.

Your testosterone blood test result will not arrive as a raw data sheet. Every result is sent to you and your report will explain exactly what your numbers mean for your health.

Your written report will cover:

• Whether your Total testosterone falls within the healthy range for your age and sex
• Whether your Free testosterone is optimal even if your Total testosterone appears normal
• What your SHBG level indicates about the availability of testosterone in your body
• Whether your results are consistent with testosterone deficiency (hypogonadism) or androgen excess
• Recommended next steps including whether a follow-up with your GP, an endocrinologist, or a TRT specialist would be appropriate

Many patients find that their testosterone results explain symptoms they have been experiencing for months or years fatigue, low mood, reduced drive and difficulty maintaining a healthy body composition that had previously been attributed to lifestyle or stress.

Learn more about our doctor-reviewed private blood tests→

How to Get Your Private Testosterone Blood Test

Book online or call

Book your Testosterone blood test online in under 60 seconds. Prefer to speak to us? Call our team on 0331 6300 850 we may be able to offer a same-day appointment, subject to availability, though booking online in advance is the best way to guarantee your slot. No GP referral required.

Quick Clinic Visit

Your appointment takes around 10 minutes. One of our trained phlebotomists will take a small blood sample using standard venepuncture. No special preparation is needed for most markers in this panel, though our team will advise if fasting is recommended.

Receive Your Doctor-Reviewed Results

Your Testosterone Blood Test test results are typically returned within 24–72 hours. You'll have the option to have your results reviewed and explained by a GMC-registered UK doctor for an additional fee giving you a clear written report alongside your numerical results, not just a list of numbers.

Why Choose a Private Testosterone Test Over Waiting for the NHS?

Getting a testosterone test on the NHS is not straightforward. GPs are advised to test only when symptoms are significant, and even then, many patients report being told their levels are ‘normal’ based on a Total testosterone reading alone without Free testosterone or SHBG being measured. Our private testosterone test gives you a complete picture, quickly, without a referral.

NHS Testosterone Test
First Medical Consultants Private Testosterone Test
GP Referral Required
Yes, symptoms must be clinically significant
No, book directly online
Markers Tested
Total testosterone only (in most cases)
Total testosterone + Free testosterone + SHBG
Identifies Low Free Testosterone
No, frequently missed
Yes, always included
Results Turnaround
1–2 weeks via GP follow-up
24–72 hours, sent directly to you
Results Explained
GP appointment required
Written doctor commentary included
Morning Appointment Available
Restricted GP availability
Yes, walk-in mornings available nationwide
Cost
Free at point of use
Private fee contact for pricing

Testosterone Blood Test Common Questions

Is this an NHS or private testosterone test service?

This is a fully private service, not affiliated with the NHS. You can book directly without a GP referral or waiting list. Your sample is processed in UKAS ISO 15189-accredited UK laboratory. You’ll have the option to have your result reviewed by a GMC-registered UK doctor before being sent to you with an additional fee.

What is the difference between Total and Free testosterone?

Total testosterone measures the full amount of testosterone in your blood, including the portion bound to proteins. Free testosterone measures only the biologically active fraction the testosterone your body can actually use. It is possible to have a normal Total testosterone reading while Free testosterone is low, which explains why many men feel symptomatic despite being told their results are ‘normal’. Our test measures both.

What time of day should I take a testosterone blood test?

For the most accurate result, we recommend booking a morning appointment ideally between 7am and 10am. Testosterone levels follow a natural daily rhythm (diurnal variation), peaking in the morning and declining throughout the day. An afternoon test can produce a result that is 20–30% lower than your true morning peak, which can lead to misinterpretation.

Do I need to fast before a testosterone blood test?

Fasting is not required for testosterone testing. You can eat and drink normally before your appointment. However, if your test panel includes additional markers such as cholesterol, glucose or insulin, our team will advise you whether fasting is needed for those specific tests at the time of booking.

When will I receive my testosterone test results?

Most results are returned within 24–72 hours of your sample being taken.

Can women take this testosterone blood test?

Yes. Testosterone plays an important role in female health influencing energy, libido, mood and body composition. Women with suspected PCOS, hormonal imbalance, or persistent unexplained symptoms may benefit significantly from knowing their testosterone levels. Elevated testosterone in women is also a key marker in the diagnosis of polycystic ovary syndrome.

What are the signs of low testosterone in men?

Common symptoms of low testosterone in men include persistent fatigue, reduced sex drive, difficulty building muscle, unexplained weight gain (particularly around the abdomen), low mood or irritability, poor concentration, reduced body hair, and in some cases erectile dysfunction. If you are experiencing several of these symptoms, a private testosterone blood test is a straightforward first step toward understanding the cause.

Can I use these results with my NHS GP or a TRT clinic?

Yes. Your results report is a clinical document produced by a GMC-registered UK doctor and can be shared with your NHS GP, a private endocrinologist, or a testosterone replacement therapy (TRT) clinic to support further investigation or treatment planning.

Book Your Testosterone Blood Test Today

Walk-in appointments available this week at clinics nationwide, including Harley Street, London. Get a complete picture of your testosterone levels Total, Free and SHBG with doctor-reviewed results in 24–72hours for an additional fee. No GP referral needed. Book online in under 60 seconds.