Skip to content
Our Cambridge clinic is now open. Book now!
Our Cambridge clinic is opening its doors on the 30th of April. Book now!

Free androgen index (FAI) - description and reference ranges

What is it?

Androgens are hormones that produce male characteristics in a body, such as facial hair. Both women and men have androgents, but women usually in very small concentrations. The Free Androgen Index (FAI) gives an estimate of how much free testosterone is present in the blood. It is a calculation is recommended as a baseline investigation for suspected hyperandrogenism in females.

It is calculated as Free androgen index (FAI) = Total Testosterone/SHBG x 100% and is given as a percentage.

It is important that you collect blood for this test in the early morning, after a fast.

Reference ranges

If your indicative FAI is lower than the reference range for our laboratory:

Low FAI in women is generally not a cause for concern, it is the elevated levels of androgens that are normally investigated.

Low values in men may indicate testosterone deficiency, which may contribute to fatigue, erectile dysfunction, osteoporosis and loss of secondary sex characteristics.

You can discuss this result with your GP.

If your indicative FAI is higher than the reference range for our laboratory:

In women, raised androgens can be a concern in hirsutism or the polycystic ovary syndrome.

You can discuss this result with your GP.

Quick test finder

Quick test finder

Find what you need in under 30 seconds with our (very clever!) test finder. We offer a huge range of markers all a few clicks away, as well as fastest turnaround times.

Find your test

You might also like to read

  • Sunshine important for Vitamin D
    Dr. Adam Staten

    Vitamin D: Micronutrient, Mega Important

    Despite the widespread prevalence of vitamin D deficiency, it is easily overlooked. The symptoms of vitamin D deficiency, particularly if the deficiency is mild, are often vague and difficult to define. Frequently the feeling of malaise or lethargy that may be caused by low vitamin D levels are attributed to something else, or just blamed on the general stresses of life. This is a real shame because replacing vitamin D is very straightforward.
    Read now
  • Stroke signs to look out for
    Dr. Mike Forsythe

    Stroke: Types, Causes, Symptoms & Prevention

    A Cerebrovascular Event (CVA), or stroke, as it’s more commonly known, is a medical emergency. It occurs when blood flow to a part of the brain is reduced or interrupted, depriving brain tissue of oxygen. This can result in brain...

    Read now
  • man with coeliac disease
    Dr. Adam Staten

    Coeliac Disease: All you need to know

    What is Coeliac Disease? Coeliac Disease, also known as Celiac Disease, is a genetically determined, autoimmune condition that causes inflammation within the gut following exposure to gluten in the diet. As a genetic condition, it can run in families and...

    Read now