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SHBG test

Also called: Sex hormone-binding globulin

SHBG is a protein that carries sex hormones. It helps interpret testosterone results.

SampleA small tube of blood from a vein in your arm
Fasting?Usually not needed
ResultsSeveral days
Good to knowOne result rarely tells the whole story. Your provider looks at your results together with your symptoms, exam, and other tests.

What the test is

It's used to calculate free testosterone.

Why it's done

  • Borderline testosterone results
  • Signs of high male hormones in women

Getting ready and what happens

  • Morning testing with testosterone.

How the test is done

  • A health worker cleans the skin, puts a band around your arm, and draws blood from a vein with a small needle. It takes a few minutes.

What the results mean

High SHBG

Less free testosterone available; seen with aging, liver disease, and overactive thyroid.

Low SHBG

Seen with obesity, insulin resistance, PCOS, and an underactive thyroid.

Questions to ask your provider

  • What do my results mean for me?
  • Do I need to repeat this test or have other tests?

Risks

A blood draw is very safe. You may have slight pain or a small bruise where the needle went in.

Related conditions

Related tests

Sources

Last updated 2026-11-13.