THE HORMONE BLOODWORK FIELD GUIDEEditorial standards →

04 / BENCHMARKS

Put the number in context.

A reference interval describes what a lab or study observed in a defined population. A clinical threshold can guide when to follow up.

Reference intervals & action thresholds

MarkerNumber & typeWhere it applies
Total testosterone264 to 916 ng/dL
Research reference interval
Healthy nonobese men aged 19 to 39, harmonized across U.S. and European cohorts. Use your performing lab’s interval.
Harmonized testosterone reference interval, Travison et al. (2017) →
Estradiol (E2)10 to 40 pg/mL
Lab-specific reference interval
Mayo adult male serum estradiol example. Check assay and your report’s own interval.
Mayo Clinic Laboratories, serum estradiol test catalog →
HematocritAbove 54%
Clinical action threshold
Endocrine Society threshold for intervention during prescribed TRT. Contact your prescriber promptly at 54% or higher.
Endocrine Society clinical practice guideline, Bhasin et al. (2018) →
PSARise >1.4 ng/mL or confirmed PSA >4 ng/mL
Clinical referral threshold
Endocrine Society criteria for urology consultation in the first year of TRT for patients undergoing prostate monitoring.
Endocrine Society clinical practice guideline, Bhasin et al. (2018) →

Use the range and units on your report. Discuss unexpected changes or abnormal values with a clinician.