Test Overview
A testosterone test checks the level of this male
hormone (androgen) in the blood. Testosterone affects
sexual features and development. In men, it is made in large amounts by the
testicles. In both men and women, testosterone is made
in small amounts by the
adrenal glands; and, in women, by the
ovaries.
The
pituitary gland controls the level of testosterone in
the body. When the testosterone level is low, the pituitary gland releases a
hormone called
luteinizing hormone (LH). This hormone tells the
testicles to make more testosterone. See an illustration of the
pituitary
gland
.
Before
puberty, the testosterone level in boys is normally
low. Testosterone increases during puberty. This causes boys to develop a
deeper voice, get bigger muscles, make
sperm
, and get facial and body hair. The level of
testosterone is the highest around age 40, then gradually becomes less in older
men.
Most of the testosterone in the blood is bound to a protein called
sex hormone binding globulin (SHBG). Testosterone that is not bound ("free")
can also be checked if a man is having sexual problems.