Simultaneous measurement of unbound testosterone and estradiol fractions in undiluted plasma at 37 degrees C by steady-state gel filtration

A method is described for the simultaneous measurement of percent unbound testosterone (T) and estradiol (E₂) using steady-state gel filtration (SSGF), a technique which maintains physiological conditions of pH, temperature and plasma constituents, thus avoiding alterations in the original equilibria. Combined with specific assays of their total plasma levels it probably yields a closer estimate of the true circulating unbound (biologically-active) concentration of T and E₂ than previous methods. Its main application lies in the study of sex-hormone disorders which may result in an imbalance between unbound T and E₂ concentrations. Results of percent unbound are: normal men - T, 1.71 ± 0.29 (SD); E₂, 1.79 ± 0.32: normal women - T, 1.02 ± 0.17; E₂, 1.49 ± 0.35: hirsute women - T, 1.68 ± 0.52; E₂, 1.55 ± 0.29; women on estrogens - T, 0.67 ± 0.06; E₂, 1.02 ± 0.13. As predicted from earlier studies in hirsute females the fall in SHBG level is associated with a significant rise in percent unbound T, but no rise in percent unbound E₂.