The Free Androgen Index (FAI) test is a blood test that calculates the ratio of total testosterone to sex hormone-binding globulin (SHBG). This index provides an estimate of the amount of biologically active, or “free,” testosterone circulating in the body. The test is commonly performed to evaluate androgen status in both men and women, particularly in cases of suspected hormonal imbalance, polycystic ovary syndrome (PCOS), infertility, or other endocrine disorders, helping guide diagnosis and treatment decisions.
Doctors use it to evaluate androgen status, diagnose hormonal imbalances, and assess conditions like polycystic ovary syndrome (PCOS) or infertility.
It suggests excess free testosterone, often linked to PCOS, hirsutism, or androgen‑related disorders.
It indicates reduced free testosterone, which may be associated with hypogonadism, fatigue, or infertility.
Patients with symptoms of hormonal imbalance, infertility, or suspected androgen disorders benefit from this test.
Certainly, elevated FAI values support PCOS diagnosis, but clinical correlation and imaging are also needed.
Not alone. Elevated FAI indicates imbalance, but diagnosis requires clinical evaluation and other tests.
Yes, abnormal FAI values may explain infertility linked to hormonal imbalance.
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