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What is a Free Androgen Index FAI?

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.

Additional Information

Also known as/ Other names: FAI Test, Free Androgen Ratio, Calculated Free Testosterone Index, Androgen Index Test
Parameters: 2
Recommended for: M/F/Others
Sample Type: Blood
Patient Preparation: No prior preparation is needed
Reports: 2 days

FAQs

Why is this test performed?

Doctors use it to evaluate androgen status, diagnose hormonal imbalances, and assess conditions like polycystic ovary syndrome (PCOS) or infertility.

What does a high FAI result mean?

It suggests excess free testosterone, often linked to PCOS, hirsutism, or androgen‑related disorders.

What does a low FAI result mean?

It indicates reduced free testosterone, which may be associated with hypogonadism, fatigue, or infertility.

Who should undergo this test?

Patients with symptoms of hormonal imbalance, infertility, or suspected androgen disorders benefit from this test.

Can this test diagnose PCOS?

Certainly, elevated FAI values support PCOS diagnosis, but clinical correlation and imaging are also needed.

Does a positive result confirm disease?

Not alone. Elevated FAI indicates imbalance, but diagnosis requires clinical evaluation and other tests.

Can FAI detect infertility causes?

Yes, abnormal FAI values may explain infertility linked to hormonal imbalance.

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