Free Androgen Index (FAI)

Free Androgen Index (FAI) = 100 x (total testosterone / SHBG), both in nmol/L (US total testosterone ng/dL / 28.84 = nmol/L).

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Sex
Female
Total testosterone
2.5 nmol/L
SHBG
30 nmol/L

Result: FAI 8.3 — above the typical female upper limit (~5), supporting androgen excess.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Women
~<= 5 normal; > 5 supports androgen excess (PCOS, hirsutism).
Men
~30-150 typical. Unreliable at SHBG extremes; not a stand-alone free-testosterone measure in men.

What you enter

  • Sex (interpretation is sex-specific)
  • Total testosterone (nmol/L)
  • SHBG (nmol/L)
How this is calculated
Formula
FAI = 100 x (total testosterone / SHBG), both in nmol/L (US total testosterone ng/dL / 28.84 = nmol/L). Unitless.

Wilke TJ, Utley DJ. Total testosterone, free-androgen index, calculated free testosterone, and free testosterone by analog RIA compared in hirsute women. Clin Chem. 1987;33(8):1372-1375. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.