Men’s Testosterone and Hormone Blood

Most of the testosterone in your blood is bound up and unavailable. How much is actually free depends on SHBG, the protein it travels attached to. Two men with an identical total reading can have very different amounts available to use, which is why a total testosterone result alone, with nothing beside it, is the most commonly misread number in men’s health.

The more useful question is why. LH and FSH are the signals from the brain telling the testes what to do. Whether those signals are high or low alongside a low testosterone points in completely different directions, and it is the distinction a doctor needs before anything sensible can be said. This panel also runs the ordinary screen, because low energy and low drive are caused by thyroid problems, anaemia, blood sugar and sleep at least as often as by testosterone. It is a screening panel and not a diagnosis.

01

Testosterone, With Context

Total testosterone measured with SHBG, so your doctor can calculate the Free Androgen Index rather than read a bare number.

Total T, SHBG, FAI

02

Where The Problem Sits

LH and FSH show whether the signal from the brain is the issue or whether the testes are not responding to it. Different answers, different next steps.

LH and FSH

03

The Oestrogen Side

Men convert testosterone to oestradiol, and the balance matters. A high normal testosterone reads differently once you can see it.

Oestradiol

04

Your Adrenal Contribution

DHEAS comes from the adrenal glands rather than the testes, and is a separate part of the androgen picture.

DHEAS

05

Prostate Marker Included

PSA is included rather than sold separately. It is generally considered from age 45, or earlier where there is family history.

PSA

06

The Ordinary Causes Too

Blood count, blood sugar, kidney, liver and lipids. Low energy and low drive are frequently explained here rather than by hormones.

Full base screen

What Is Included

Seven Hormone Markers, Plus A Full Base Panel

One blood draw and one urine sample. Results in 4 working days.

18 test groups

Testosterone, Total

Read with SHBG, never alone.

SHBG

Determines how much is actually available.

Free Androgen Index

Calculated from the two above. No extra blood.

Luteinising Hormone

The signal driving testosterone production.

Follicle Stimulating Hormone

Read alongside LH to locate the problem.

Oestradiol (E2)

The balance side of the androgen picture.

DHEAS

The adrenal androgen.

PSA

Prostate specific antigen, included.

Full Blood Count

Anaemia, a frequent cause of low energy.

HbA1c and Fasting Glucose

Blood sugar, closely tied to testosterone.

Renal Profile, uACR, Liver Function

Kidney and liver, where hormones are cleared.

Lipids, Urine FEME, AIP, CRI-1, CRI-2

Cardiovascular block and urinary screen.

The full panel, grouped by what it looks at. The first group is the hormone module. The rest is a complete base health screen taken from the same draw, and it frequently holds the answer.

Reference ranges vary by laboratory and, for testosterone, by the time of day the sample was taken. Both are printed on your report. A result outside a range is a reason to discuss it with your doctor, not a diagnosis on its own.

How It Works

1

Enquire

Message us with your age and what has changed, and over what period.

2

Morning Slot

We book a morning appointment as standard, because testosterone is highest then.

3

Samples Processed

Run at an accredited Malaysian laboratory. Results in 4 working days.

4

Doctor Review

A doctor calculates your Free Androgen Index and reads the hormones together.

Fast for 12 hours and come in the morning. Water is fine. Tell us when you book if you are taking or have taken testosterone, anabolic steroids, SARMs, opioids, or any prostate medication, because all of these change these results substantially and some suppress your own production. Avoid vigorous cycling and ejaculation for 48 hours before the draw, both of which can raise PSA. This is a screening panel: it does not diagnose hypogonadism, prostate cancer or erectile dysfunction, and a single low testosterone result is normally confirmed on a second morning sample before anything is concluded.

Buy first, then book. Once your order is confirmed, message us on WhatsApp to arrange your appointment. Our team contacts every buyer within 1 working day of a successful order, so you do not need to chase us.

The markers in this panel are established subjects of clinical research. The references below are provided so you can read the source material yourself. They describe the markers, and are not evidence of any outcome from taking this test.

Bhasin S et al. Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline. The Journal of Clinical Endocrinology and Metabolism 2018;103(5):1715-1744. doi.org/10.1210/jc.2018-00229
Melmed S et al. Diagnosis and Treatment of Hyperprolactinemia: An Endocrine Society Clinical Practice Guideline. The Journal of Clinical Endocrinology and Metabolism 2011;96(2):273-288. doi.org/10.1210/jc.2010-1692
Biondi B, Cappola AR, Cooper DS. Subclinical Hypothyroidism: A Review. JAMA 2019;322(2):153. doi.org/10.1001/jama.2019.9052
Sniderman AD et al. Apolipoprotein B Particles and Cardiovascular Disease. JAMA Cardiology 2019;4(12):1287. doi.org/10.1001/jamacardio.2019.3780

Frequently Asked Questions

Testosterone test Malaysia: what does this panel measure?

It measures 18 test groups from one blood draw and one urine sample. The hormone module is total testosterone, SHBG, LH, FSH, oestradiol, DHEAS and PSA, with the Free Androgen Index calculated from the first two. The rest is a complete base health screen. Every test is listed in the chart above.

Is free testosterone included?

Not as a direct measurement. Instead your doctor calculates the Free Androgen Index from your total testosterone and SHBG, both of which are included. This is standard practice and is how most assessments estimate available testosterone, since directly measured free testosterone is not routinely offered here.

Why does the appointment have to be in the morning?

Because testosterone follows a daily rhythm and is highest in the morning, falling through the day. An afternoon sample can read meaningfully lower than a morning one from the same person on the same day, which makes it hard to interpret. We book morning slots as standard for this reason.

I am on testosterone therapy already. Should I do this?

Tell us first, because it changes what the results mean. Your testosterone will reflect what you are taking, and LH and FSH will usually be suppressed because your own production is switched off. That is expected rather than a finding. If you want to know your natural baseline, that is a conversation for the doctor supervising your therapy, not a test to take unannounced.

Will this diagnose low testosterone?

No. Hypogonadism is a clinical diagnosis based on symptoms plus repeated blood results, not a single number. Standard practice is to confirm a low morning testosterone on a second, separate morning sample before concluding anything. What this panel does is give a doctor the full picture in one go rather than one marker at a time.

Is the PSA a cancer test?

No. PSA is a screening marker, not a diagnosis. It rises with age and with several benign causes including prostate enlargement, infection, recent cycling and recent ejaculation. A raised result means a conversation with a doctor about whether further assessment is warranted, and most raised results are not cancer.

How long do results take?

4 working days from the date of your draw. Your doctor e-consultation is arranged once all results are in, so testosterone, SHBG, LH and FSH are read together rather than in pieces as individual markers return.

Ujian ini untuk siapa?

Ujian testosteron ini sesuai untuk anda yang mengalami penurunan tenaga, semangat atau kekuatan sejak beberapa bulan. Ia merangkumi 18 kumpulan ujian termasuk testosteron, SHBG, LH, FSH dan PSA. Ujian perlu diambil pada waktu pagi kerana paras testosteron paling tinggi ketika itu, dan berpuasa 12 jam diperlukan. Ini adalah saringan, bukan diagnosis.

This screening panel is provided for health information purposes and does not constitute medical diagnosis, treatment or advice. Screening is not diagnosis. This panel does not diagnose hypogonadism, prostate cancer, prostate disease, infertility or erectile dysfunction, and it is not a prescription assessment for testosterone therapy. Testosterone levels follow a daily rhythm and a morning sample is required for meaningful interpretation. A single low testosterone result is normally confirmed on a second, separate morning sample before any conclusion is drawn. PSA is a screening marker that rises with age and with benign causes including prostate enlargement, infection, recent cycling and recent ejaculation; a raised result is not a diagnosis of cancer. Testosterone, anabolic steroids, SARMs, opioids and some prostate medications substantially alter these results. Do not start or stop any medication or supplement in order to take this test without speaking to your doctor. Always consult a qualified healthcare professional before making decisions about treatment.