Free Testosterone Calculator

Free Testosterone Index Calculator

Calculate your Free Androgen Index (FAI) from total testosterone and SHBG lab values. The FAI estimates how much testosterone is available to your tissues, independent of what is bound to SHBG. Free, instant, no login.

The formula

FAI = (Total Testosterone ÷ SHBG) × 100

Both values must be in the same units — typically nmol/L from a blood panel.

How to use this calculator

You need two values from a blood test: your total testosterone (in nmol/L) and your SHBG (in nmol/L). Both are standard markers on a hormone blood panel. Enter them and the FAI calculates immediately.

If your lab reports testosterone in ng/dL instead of nmol/L, divide by 28.84 to convert (e.g. 500 ng/dL ÷ 28.84 = 17.3 nmol/L). Most New Zealand and Australian labs report in nmol/L.

Worked example

Example from a blood panel

Total testosterone: 20 nmol/L

SHBG: 40 nmol/L

FAI = (20 ÷ 40) × 100 = 50

High SHBG scenario

Total testosterone: 22 nmol/L (appears normal)

SHBG: 80 nmol/L (elevated)

FAI = (22 ÷ 80) × 100 = 27.5 (low — suggests high SHBG binding)

Interpreting your result

Reference ranges vary between laboratories. Broadly, for adult men:

FAI rangeGeneral interpretation
Below 30Low — may indicate reduced bioavailable testosterone
30 – 150Broadly normal range for adult men
Above 150Elevated — discuss with your doctor

These are approximate population guidelines. Your individual reference range may differ. A low FAI alongside a normal total testosterone result often indicates elevated SHBG, which is binding and inactivating a significant portion of your testosterone. This can be clinically relevant even if total testosterone appears adequate.

Always discuss your results in context with your doctor or endocrinologist — the FAI is one data point, not a standalone diagnosis.

Frequently asked questions

Why does SHBG matter?
SHBG is a protein that binds strongly to testosterone, preventing it from interacting with androgen receptors in your tissues. High SHBG means more of your total testosterone is bound and inactive. You can have a total testosterone reading within the normal range and still experience symptoms of low T if SHBG is elevated.
Is FAI the same as free testosterone?
No. Free testosterone is a direct measurement of the testosterone not bound to any protein. The FAI is a calculated estimate that uses SHBG as a proxy. Direct free testosterone measurement (usually by equilibrium dialysis) is more accurate but more expensive and less commonly ordered. FAI correlates reasonably well with free T in most clinical contexts.
What can raise SHBG?
SHBG tends to rise with age, low body weight, elevated thyroid hormones, liver disease, certain medications (including some anticonvulsants), and high oestrogen levels. It tends to fall with obesity, insulin resistance, high androgen levels, and hypothyroidism.

Other calculators