Sex Hormone Binding Globulin (SHBG)
Clinical Chemistry
Description
Sex hormone-binding globulin ( SHBG ) is a glycoprotein, synthesised in the liver, which binds testosterone and 5a-dihydrotestosterone with high affinity, and oestradiol with somewhat lower affinity. It has a single steroid hormone-binding site, a molecular mass of approximately 80,000 to 100,000 daltons, and consists of two subunits, roughly equal in size. Serum concentrations are affected by many drugs including oral contraceptives. SHBG concentration rises slowly with age and is elevated in hyperthyroidism, hypogonadism, anorexia nervosa, pregnancy, cirrhosis and other excess oestrogen states. Levels are reduced in hypothyroidism, hyperandrogenism, obesity, hirsutism and polycystic ovary disease.
Indications
Investigation of hyperandrogenism in females and of low testosterone in males.
Sample Type
Serum, SST/Gel, minimum 2 mL ( 1 mL separated serum )
Reference Range
Reference ranges are provided on the report. Alternatively, please contact the laboratory for current ranges.
Turnaround Time
Within 3 days
Testing Frequency
As required
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Sex Hormone Binding Globulin (SHBG)