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Free Testosterone Calculator

Estimate free and bioavailable testosterone from total testosterone, albumin, and SHBG using Vermeulen formulas.

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Why Calculate Free Testosterone?

Total testosterone alone does not show how much hormone is biologically active. Most testosterone binds to sex hormone-binding globulin (SHBG) or albumin. Free testosterone is the unbound fraction available to tissues. Bioavailable testosterone includes free testosterone plus albumin-bound testosterone that dissociates readily.

The Vermeulen Equation

This calculator uses the Vermeulen mass-action model. Enter total testosterone in ng/dL, SHBG in nmol/L, and albumin in g/dL. The equilibrium is solved with albumin and SHBG association constants to derive free and bioavailable fractions:

$$[T_{total}] = [FT] + K_a \times [Alb] \times [FT] + \frac{K_s \times [SHBG] \times [FT]}{1 + K_s \times [FT]}$$

Bioavailable testosterone is calculated as:

$$[Bio\text{-}T] = [FT] \times (1 + K_a \times [Alb])$$

Where $K_a$ is the albumin association constant and $K_s$ is the SHBG association constant. The calculator solves the quadratic form of this equilibrium for free testosterone concentration.

Reading the Results

Free testosterone is reported in pg/mL with percent of total. Bioavailable testosterone is reported in ng/dL with percent of total. Reference ranges vary by laboratory method, age, and sex. Compare results to your lab's assay-specific intervals and clinical context.

Frequently Asked Questions

What inputs does the Vermeulen calculator need?

Total testosterone (ng/dL), SHBG (nmol/L), and albumin (g/dL). All three are required because binding to SHBG and albumin determines the free fraction.

What is the difference between free and bioavailable testosterone?

Free testosterone is completely unbound. Bioavailable testosterone includes free testosterone plus testosterone loosely bound to albumin that can enter cells.

Why does SHBG affect free testosterone?

Higher SHBG binds more testosterone, lowering the free fraction even when total testosterone is normal. Low SHBG has the opposite effect.

Is the Vermeulen equation the same as equilibrium dialysis?

Vermeulen provides a calculated estimate validated against equilibrium dialysis in research settings. Direct assay methods may differ slightly from calculated values.

Can I use this to diagnose hypogonadism?

No. Free and bioavailable testosterone support interpretation alongside symptoms and repeat morning total testosterone. Diagnosis requires clinical evaluation.