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Question
Hello Dr Lesley, I am feeling that I was cheated by the laboratory that took the blood sample to calculate the total testosterone level, the free testosterone, the fsh level, the lh level, the prolactine level and the SHBG level.I feel cheated because they took the blood sample 13:00 in the afternoon.I asked them twice , if I should have come in morning hours (07:00 - 10:00) and they said it does not matter when it comes to these hormones .Do you agree that there is no problem to have these hormones checked at this time instead of early in the morning.will the time affect the results?I complained to them and they told that I can repeat the check ify doctor recommends to do it early in the morning free of charge.So whatever you recommend is what I will do, because you are the only doctor that I have access to...I am waiting for your answer with some anxiety I can tell... Thank you so much for helping us!What you do is fantastic and you should be really proud of it! With all my appreciation Jim

Answer
Jim:

No, I do not agree that the timing doesn't matter.  While it is not essential to take the sample at the optimal time, it certainly helps to take a morning sample when testosterone levels are typically highest.  But that doesn't mean an afternoon test is "cheating"!  See what the numbers are and then talk to your physician.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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