Am I a Candidate for Testosterone Replacement Therapy?

Am I a Candidate for Testosterone Replacement Therapy?

As part of your consultation, you will undergo a thorough physical including a prostate evaluation as well as diagnostic testing to assess your need for this treatment.

While only your doctor can determine if testosterone replacement is right

for you, we have included a simple online questionnaire that screens for testosterone deficiency.

YES NO

1.Do you have a decrease in libido (sex drive)?

YES NO

2.Do you have a lack of energy?

YES NO

3.Do you have a decrease in strength and/or endurance?

YES NO

4.Have you lost height?

YES NO

5.Have you noticed a decreased “enjoyment of life”?

YES NO

6.Are you sad and/or grumpy?

YES NO

7.Are your erections less strong?

YES NO

8.Have you noted a recent deterioration in your ability to play sports?

YES NO

9.Are you falling asleep after dinner?

YES NO

10.Has there been a recent deterioration in your work performance?