Introduction: Sexual hormone-binding globulin (SHBG) is a protein that binds to androgens and oestrogens, especially testosterone. The fraction of testosterone that is not bound to SHBG is the biologically active fraction which makes its determination more relevant than determining the total amount of circulating testosterone. It is difficult to measure the plasma concentration of free testosterone; therefore calculations using the concentrations of testosterone and SHBG are used to estimate the amount of free testosterone. A few calculations include the concentration of albumin because testosterone also binds to albumin. The main aims of this study were to verify a method for the determination of SHBG and to calculate a reference interval for free androgen index (FAI, testosterone/SHBG) in women. Other calculations for determination of the free testosterone fraction were compared. Methods: Testosterone, SHBG and albumin were measured in serum from 20 men and 100 women. Testosterone and SHBG was measured using immunoassays on a Roche Modular E instrument (ECLIA). Albumin was measured with a c8000 Architect instrument. Four calculations, two with only testosterone and SHBG and two with testosterone, SHBG and albumin were compared.  Results/Conclusion: The verification of the SHBG method was successful which means that the method can be taken into routine use. A reference interval for FAI was constructed. It was difficult to show if other estimation of free testosterone would work better than FAI in clinical practice. This is discussed.

Objective To determine the relationship between increased body hair growth in women and serum sex hormone level, body mass index, and clinical signs. Sample and methods The sample group consisted of 186 women, 18–35 year old residents of Lithuania who were referred to the Clinic of Endocrinology, Kaunas University of Medicine Hospital in 2002–2004 and complained for increased body hair growth. Exclusion criteria: 1) taking systemic medications within the period shorter than three months before the beginning of the study; 2) specific reasons of excessive body hair growth, such as androgen secreting adrenal or ovarian tumors, hyperprolactinemia, Cushing syndrome; 3) thyroid dysfunction. A total number of 37 women were excluded from further study. Statistical analysis was performed on 149 women. Increased body hair growth was assessed using Ferriman-Gallwey (F-G) method. Blood samples were drawn in the morning (08:00–10:00 h), in the early follicular phase, with an exclusion of 7 women with amenorrhea, while the blood sample of 12 women with oligomenorrhea was drawn following at least 2 months after the last menstruation. Serum hormones (total testosterone (T), sex hormone binding globulin (SHBG), free androgen index (FAI), dehydroepiandrosterone sulphate (DHEAS) level were measured using the commercial kits. FAI was calculated as follows: T (nmol/l) × 100/ SHBG (nmol/l). Results The significance of correlations between the F-G score and the tested variables decreased in the... [to full text]