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Testosterone Test Results — What They Mean (and What to Do About Them)

One of the most important things you can do with respect to your hormone is to get your hormone levels tested — having your testosterone test results in hand (regardless of what they say) is the first step towards feeling better.

testosterone test results

Not knowing is much worse.

While some of our patients are pleasantly surprised by their results, negative or positive results do something very important:

They clear up confusion.

Finally discovering that your testosterone is low (as you’ve probably been suspecting for a while) can be wonderfully freeing — now you know what the problem is.

And even if you find out that your levels are normal, it means you can check a possible culprit off the list.

You can finally move on to another possible cause.

Testosterone Test Results — What’s Normal and What’s Abnormal?

I know you’ve probably done your research (that’s why you’re here). You may actually have your testosterone test results in hand.

Maybe you’re not sure what they mean.

Let’s talk about that.

If you’re a man, the normal range of total testosterone is 300–1000 ng/dl.

(There is variance from analyzer to analyzer and lab to lab, but this is a generally accepted reference range.)

Your range for calculated free testosterone is 9–30 ng/dl.

(Direct free testosterone values are not useful clinically and should be ignored.)

For women, the range begins much lower. After all, your body only produces about 1/10th the amount of testosterone of a man’s body. Your free testosterone levels should fall between 0.3–1.9 ng/dl.

Your total testosterone levels have a range of 15–70 ng/dl.

Once you start to fall outside this range, either on the top or the bottom, you’re entering abnormal territory.

I used that phrase, “abnormal territory,” for a reason — there’s not a clear line dividing what’s abnormal from what’s normal. It’s more like the change between different climates as you drive across a country. You don’t suddenly end up in the desert as you drive out of the mountains — the change is gradual, and there’s a great deal of overlap.

These are average ranges based on testing of many individuals — it doesn’t mean that you’re abnormal just because your free testosterone is 8.9 or 0.28.

What really matters is how you’re feeling — your symptoms. If you’re experiencing symptoms, it doesn’t matter what your testosterone test results are — something is wrong, and we need to figure out what that something is.

Your Test Results Could Be Wrong — Make Sure You Get a Second Opinion

Here’s something that applies more to women than to men (though it’s still good advice for everyone).

Get a second opinion. Don’t rely on a single set of testosterone test results — it’s often the case that medical providers give patients the wrong test, at the wrong time, and with the wrong interpretation (especially those who don’t specialize in or aren’t familiar with testosterone replacement therapy).

We see women regularly who are diagnosed with high testosterone when they actually have low testosterone (crazy, I know, but there’s a good reason why this happens).

For men, things are more straightforward — but it’s still a good idea to get additional testing — looking at your calculated free testosterone test is of paramount importance for both diagnosis and treatment

To learn more about our $25 Low T test for men and women, click here.



(Augie) Juan Augustine Galindo Jr. MPAS, PA-C

(Augie) Juan Augustine Galindo Jr. MPAS, PA-C started his career in healthcare as a fireman/paramedic in West Texas where he served on the Midland Fire Department from 1998-2004.   He became interested in testosterone treatment after seeing how hormone replacement doctors helped those suffering from low testosterone.   After graduating from the Texas Tech Health Sciences Center Physician Assistant Program, he moved to DFW where he currently lives with his wife and three children.


  1. Wendy on 08/30/2016 at 3:48 pm

    Hi-i am a 44 year old female and i recently had my testosterone levels checked due to extreme fatigue and weight gain. My free T is 0.2 and total T is < 3. My physician prescribed a 1% transdermal cream. How long will it take before i feel results from the cream? Im so tired of being TIRED. Thanks!

    • Augie Galindo on 09/03/2016 at 4:58 pm


      The biggest question here is “IF” you will feel anything. Studies show that 40% of patients don’t absorb topically administered testosterone, and many other factors can negatively affect absorption. If these issues are not present, most patients start feeling better, 3-4 weeks after starting therapy.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  2. Sam on 10/06/2016 at 5:14 am

    I go the results of tests and it was as follows:
    Total Testosterone 10.41 ng/ml
    Free Testosterone 7.5 pg/ml
    E127-beta-Estradiol (E2) 51.4pg/ml

    What do you think of the results in general. should I be worried regarding the E2?
    Thank you,


    • Augie Galindo on 10/06/2016 at 12:53 pm


      Those results seem suspicious for error. Unless they are looking at a your calculated free testosterone, I wouldn’t trust that number for a bit. Your E2 may be ok, depending on the the reference range from the performing lab.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  3. Heather Goodman on 10/10/2016 at 10:32 am

    My son is 24yrs old, and healthy as far as we know. He is slightly overweight, but works out and eats fairly well. He seems to have a lot of the symptoms for low testosterone, sleeps very poorly etc. His results came back and his testosterone level was 192, which we know is low. What would be the recommended next step?

    • Augie Galindo on 10/10/2016 at 7:02 pm


      Retesting in the morning (before 10 AM) is the first step toward confirmation. After that, a focused, yet thorough, history and physical should be performed. In my line of work it is no longer uncommon to see men under the age of 30 with hypogonadism, but making sure the diagnosis is accurate is especially crucial for younger patients. Also, I would recommend fertility testing and a long, hard look at the effects of TRT on fertility before contemplating treatment.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  4. Bobby on 04/03/2017 at 11:00 am

    Just had a testosterone test I’m 53 came back 85ng/do total. Also I didn’t understand what was listed as: adult Tanner stage II /III stage. Can you tell me what that means? Thanks

    • Augie Galindo on 04/13/2017 at 6:25 pm


      Tanner staging relates to the development of genitalia and pubic hair distribution and how it relates to usual progression from childhood to adulthood.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  5. J on 06/14/2017 at 4:35 pm

    I go the results of tests and it was as follows:
    Total Testosterone Serum
    326 ng/dl
    Free Testosterone direct
    8.6 pg/ml
    Estradiol. 32.3 pg/ml

  6. Gary on 09/27/2017 at 5:58 pm

    I am a 25yr old Marine Corps Veteran (very active)
    I have had 2 different tests performed as follows:
    labs drawn from the VA and sent to LabCorp

    **TEST 1**
    Free Testosterone= 3.13%
    Testosterone (FR)= 10.99ng/dl
    Testosterone Total= 351
    Blood drawn at 1030am

    **TEST 2**
    Fsh 1.1 (1.5-12.4)
    lh 4.3 (1.7-8.6)
    prolactin 13.6 (4.0-15.2)
    psa 0.92 (0.00-4.00)
    tsh 2.76 (0.35-5.50)
    ft3 5.0 (2.8-5.3)
    ft4 1.66 (0.93-1.71)
    testosterone 251 (264-916)
    blood drawn at 8:30am

    ***I am scheduled for another total test and free test tomorrow morning.
    What am I looking at as far as concerns, treatments, risks?

    • Gary,

      Check out my video to explain it all. Google TRT 101, and it will be the first thing that pops up. You can disregard what they are reporting as your free testosterone. That is from a “direct” or analog test which is clinically useless. Have them draw an SHBG with your next set and calculate your calculated free T.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  7. Ronnie on 05/23/2018 at 4:43 pm

    Hellow, I am lost for understanding the results from my T count; 7.5 ? trying to get clearity

    • Ronnie,

      I would love to help, but without a unit of measure, I am not sure which test was performed.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

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