A member asked:

Which type of testosterone has great effect on sex drive total or free?

12 doctors weighed in across 4 answers
Dr. Alvin Lin answered

Free: Egypt or flushing, ny? Anyway, free t is that fraction of total t that's available to do what you normally associate w/testosterone. But this can also be mitigated by estradiol, too. Don't forget that stress over relationship, family, friends, money, work, etc can affect sex drive (libido). So can your health & medications for your health. Bad habits like tobacco & excess alcohol don't help either.

Answered 3/15/2013

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Neither: They're just different determinations of the level of testosterone. One is total, the other is not bound to proteins and is free to be active. Actually testosterone has a "permissive" effect and only a normal amount is needed for normal sex drive. Excessive levels, such as from anabolic steroids, can cause excessive sex drive and even psychosis.

Answered 3/30/2023

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Dr. Deborah Kauffman answered

Specializes in Anti-Aging Medicine

Testosterone: Free testosterone effects the sex drive. Total testosterone equals Free Testosterone plus Bound testosterone. Generally about 97 % of Total Testosterone is bound and 3% is free.

Answered 6/10/2015

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Dr. Andrew Lipton answered

Specializes in Holistic Medicine

Testosterone free: both free and total should be measured, but free is more available

Answered 5/24/2015

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