Direct Answer
Before starting testosterone replacement therapy, your provider will order a comprehensive male hormone panel that includes: total testosterone, free testosterone, LH (luteinizing hormone), FSH (follicle-stimulating hormone), estradiol (E2), SHBG (sex hormone-binding globulin), hematocrit and hemoglobin, PSA (prostate-specific antigen), complete metabolic panel, thyroid panel (TSH, free T3, free T4), and a lipid panel. At Rejuvenate & Wellness Center in Orlando, these are ordered at your first visit with results typically available in 24β48 hours.
Why Each Lab Marker Is Ordered
Total testosterone confirms whether levels are clinically low. Free testosterone indicates how much is biologically available β a man can have normal total T but low free T due to elevated SHBG. LH and FSH help distinguish primary hypogonadism (testicular origin) from secondary hypogonadism (pituitary signaling) β a distinction that can affect treatment approach. Estradiol is measured because TRT can raise estrogen levels, which may cause water retention, mood changes, or gynecomastia in some patients. Hematocrit establishes a pre-treatment baseline, since TRT can increase red blood cell production. PSA is assessed before starting therapy in men at appropriate age or risk.
What Time of Day Should Labs Be Drawn?
Testosterone follows a diurnal rhythm β levels are typically highest in the morning (7β10 AM) and decline throughout the day. For a representative baseline, labs are generally drawn in the morning, ideally before 10 AM, after a normal night's sleep. Heavy exercise, alcohol, or significant acute stress in the 24 hours before your draw can temporarily affect testosterone levels, so your provider may advise avoiding these beforehand.
How Your Provider Interprets the Results
Lab results are interpreted in the context of your symptoms and overall clinical picture β not solely by whether values fall within a standard reference range. Reference ranges are population-based and may not reflect what is optimal for an individual patient. Your provider will discuss what your specific results mean for you and what treatment options, if any, are appropriate based on the full clinical evaluation.
How Often Are Labs Repeated After Starting TRT?
Follow-up labs are typically drawn 6β8 weeks after starting or adjusting TRT to assess whether levels are in the therapeutic range and safety markers remain stable. Once stable, monitoring labs are done every 3β6 months. Key markers tracked on TRT include total and free testosterone, estradiol, hematocrit, and PSA. Annual lipid panels and metabolic panels are also generally recommended.
Frequently Asked Questions
Can I bring labs from another provider?
Yes. If you have recent labs (within 3 months) from another provider, your Rejuvenate & Wellness Center provider can review them. Depending on which markers were included, you may not need to repeat all tests.
How much do male hormone labs cost without insurance?
A comprehensive male hormone panel at Rejuvenate & Wellness Center typically costs $150β$250 depending on the markers included. We accept HSA/FSA cards.
Do I need to fast before my hormone labs?
Fasting is recommended for the metabolic panel and lipid panel components. For hormone markers specifically, fasting is not strictly required, but morning timing is generally more important than fasting status.
Where can I get male hormone labs in Orlando without a referral?
Rejuvenate & Wellness Center in Hunter's Creek, Orlando orders comprehensive male hormone panels at your first visit β no referral required. Call (321) 294-3586 or book online.
Get Your Male Hormone Panel in Orlando
No referral. No insurance required. Results in 24β48 hours. Same-week appointments available.
14050 Town Loop Blvd, Suite 202 Β· Hunter's Creek, Orlando, FL 32837 Β· (321) 294-3586