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Choose collection locationHormones & Fertility · Individual laboratory test
SHBG is a protein that carries sex hormones in the bloodstream. It helps explain why a total testosterone result may differ from the amount available to tissues.
Clinical authorDr Nirupama SabhapathySpecialist Clinical Pathology
Understanding the test
Also called Hormone Transport Protein
SHBG can clarify a hormone assessment when symptoms and total testosterone appear inconsistent. Liver and thyroid conditions and some medicines influence binding proteins.
SHBG influences the amount of testosterone that circulates bound to protein.
Levels can help explain why a total hormone concentration and symptoms appear inconsistent.
Before your sample
SHBG itself usually does not need fasting. When a testosterone measurement accompanies it, follow the timing for that draw. Mention hormone medicines and thyroid or liver treatment.
A clinician takes a small sample of blood from a vein. The laboratory uses serum, the liquid separated from the blood after it clots.
Smart Report
24 hoursLaboratory turnaround
A change in SHBG affects how much hormone is bound in blood. The level is interpreted alongside total or free sex hormones as appropriate.
From sample to follow-up

Choose your location, add the test to your care bag and select a time. If you are booking for someone else, assign the test to them in checkout.
Choose collection locationLook for Sex Hormone Binding Globulin (SHBG) in your report. Use the sample type and collection time when comparing it with an earlier report.
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Review SHBG alongside the total hormone value that prompted testing. Ask whether a free hormone assessment would add useful information.
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Patient questions
When binding protein levels change, the same total testosterone can correspond to different free hormone levels. The two results help resolve that discrepancy.
An overactive thyroid, some liver conditions and oestrogen-containing medicines can raise SHBG. Tell your clinician about these and bring your testosterone result if you have one. More binding protein can change the amount of free testosterone even when total testosterone is in range.
The most frequent explanations are excess body weight and insulin resistance, which both reduce how much of the protein the liver makes. An underactive thyroid and any androgen exposure, including testosterone therapy, do the same. Your doctor will look at the result in the context of your weight, thyroid tests and medications.
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Written by Dr Nirupama Sabhapathy, Specialist Clinical Pathology. Medically reviewed by Dr Joyce Jose, Specialist Clinical Pathology, on .
Catalogue information and AED price checked on 2 November 2026. Clinical suitability, preparation, collection arrangements and turnaround are confirmed for your selected test.