Vermeulen free testosterone estimate
Calculates free and non-SHBG-bound fractions from total testosterone, SHBG and albumin.
- Free
- No registration
Calculation
This calculation is for reference only and is not medical advice, a diagnosis or a prescription. If you have a medical condition, are pregnant, take medication or have any doubts, discuss the result with a physician or a qualified nutrition professional.
Result
- Free testosterone
- 0.298 nmol/L (85.8 pg/mL)
- Free fraction
- 1.98 %
- Bioavailable testosterone
- 6.97 nmol/L (46.5 %)
- Total testosterone
- 15.00 nmol/L (432 ng/dL)
This is calculated, not directly measured. No universal normal range is set: interpretation depends on symptoms, age, sex, assay and repeat measurements.
This is calculated, not directly measured. No universal normal range is set: interpretation depends on symptoms, age, sex, assay and repeat measurements.
This is calculated, not directly measured. No universal normal range is set: interpretation depends on symptoms, age, sex, assay and repeat measurements.
This is calculated, not directly measured. No universal normal range is set: interpretation depends on symptoms, age, sex, assay and repeat measurements. Compare with laboratory references and discuss with a professional; this value alone does not establish hypogonadism. Reference ranges are population benchmarks from the cited sources. Laboratories use their own ranges, and interpretation depends on clinical context: discuss the result with your physician.
How it is calculated
Vermeulen (1999) equilibrium binding model: K_SHBG=10⁹ L/mol, K_Alb=3.6×10⁴ L/mol, albumin molecular weight 69,000 g/mol. Modelled bioavailable testosterone is free plus albumin-bound testosterone.
Formula
Vermeulen (1999) equilibrium binding model: K_SHBG=10⁹ L/mol, K_Alb=3.6×10⁴ L/mol, albumin molecular weight 69,000 g/mol. Modelled bioavailable testosterone is free plus albumin-bound testosterone.
Limits of the method
This is calculated, not directly measured. No universal normal range is set: interpretation depends on symptoms, age, sex, assay and repeat measurements.
Sources of the method
- Vermeulen A et al. A critical evaluation of simple methods for the estimation of free testosterone in serum. J Clin Endocrinol Metab, 1999
- Bhasin S et al. Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab, 2018
- Salonia A et al. European Association of Urology Guidelines on Sexual and Reproductive Health-2021 Update: Male Sexual Dysfunction. Eur Urol, 2021
How to use the calculation
Enter the starting values
Use actual values and the appropriate units.
Adjust the parameters
Adjust the starting assumptions for your situation.
Read the result
Consider the model limitations; a calculation is not a measurement.
Frequently asked questions
What does the calculation show?
Calculates free and non-SHBG-bound fractions from total testosterone, SHBG and albumin. Vermeulen (1999) equilibrium binding model: K_SHBG=10⁹ L/mol, K_Alb=3.6×10⁴ L/mol, albumin molecular weight 69,000 g/mol. Modelled bioavailable testosterone is free plus albumin-bound testosterone.
What limitations apply?
This is calculated, not directly measured. No universal normal range is set: interpretation depends on symptoms, age, sex, assay and repeat measurements. Compare with laboratory references and discuss with a professional; this value alone does not establish hypogonadism.
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