Sex Hormone Binding Globulin (Blood)
Does this test have other names?
SHBG blood test
What is this test?
This test measures the level of sex hormone binding globulin (SHBG) in your blood.
SHBG is a protein made by your liver. It binds tightly to 3 sex hormones found in
both men and women. These hormones are estrogen; dihydrotestosterone (DHT), and testosterone.
SHBG carries these three hormones throughout your blood.
Although SHBG binds 3 hormones, the hormone that's critical in this test is testosterone.
SHBG controls the amount of testosterone that your body tissues can use. Too little
testosterone in men and too much testosterone in women can cause problems. The level
of SHBG in your blood changes because of factors such as sex and age. It can also
change because of obesity, liver disease, and hyperthyroidism.
Why do I need this test?
You may have this test if your healthcare provider suspects that you have abnormal
testosterone levels. The test can help diagnose various conditions and diseases, including:
Androgen deficiency. The hormone androgen causes general weakness and sexual problems in men. In women,
androgen may help with thinking and bone strength. It may also help the ovaries working
the way they should.
Hypogonadism. This condition occurs mostly in men. It is found in men with low testosterone and
low sperm production.
What other tests might I have along with this test?
Your healthcare provider will likely also order total testosterone blood test. This
is because SHBG levels tend to change. Both the SHBG and total testosterone tests
are needed to confirm an androgen deficiency.
What do my test results mean?
Many things may affect your lab test results. These include the method each lab uses
to do the test. Even if your test results are different from the normal value, you
may not have a problem. To learn what the results mean for you, talk with your healthcare
Low levels of SHBG can be related to:
High levels of SHBG can be related to:
How is this test done?
The test requires a blood sample, which is drawn through a needle from a vein in your
Does this test pose any risks?
Taking a blood sample with a needle carries risks that include bleeding, infection,
bruising, or feeling dizzy. When the needle pricks your arm, you may feel a slight
stinging sensation or pain. Afterward, the site may be slightly sore.
What might affect my test results?
Pain killers called opiates, medicines for the central nervous system, and recreational
drugs can all affect your test results. Having an eating disorder or engaging in excessive,
strenuous exercise can also affect your results.
How do I get ready for this test?
You don't need to prepare for this test. But be sure your healthcare provider knows
about all medicines, herbs, vitamins, and supplements you are taking. This includes
medicines that don't need a prescription and any illicit drugs you may use.