Why these results may be reviewed together
SHBG differences that change measured total and free hormone levels.
Prescribed hormones, fertility treatment, or other medicines and supplements.
Body composition, liver health, testicular or ovarian function, and pituitary or adrenal context.
What may prompt someone to ask about both
- Changes in libido or sexual function
- Breast or chest tissue changes
- Cycle changes or fertility concerns
- Mood, energy, or body-composition changes
ExplainMyTest is not a medical device and does not diagnose, predict outcomes, prescribe, or instruct you to treat yourself. The complete report may provide a result-specific treatment plan for discussion with a qualified clinician; urgent symptoms need appropriate in-person care.
Questions you can take to a clinician
- Are these the correct sex-, age-, cycle-, and treatment-specific ranges?
- What do SHBG, LH, FSH, prolactin, and liver markers add?
- Could medicines, supplements, or collection timing explain part of the pattern?
Translation with careful boundaries
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Common questions about this pattern
Does this combination diagnose a hormone imbalance?
No. It describes two laboratory findings, not a diagnosis. The type of assay, reference ranges, sex, age, medicines, and symptoms determine the context.
Can the pattern be connected with gynecomastia or libido changes?
It can be relevant in some people, but those concerns have multiple hormonal and non-hormonal causes.
Why is SHBG important?
SHBG affects how much testosterone and estradiol is protein-bound, so total values may not fully reflect the biologically available fractions.