BHRT Questionnaire

Please fill out the following medical assessment as honestly and accurately as possible. The medical provider will use the information to determine your best course of treatment.

"*" indicates required fields

Do you have a lack of energy?*
Are you sad and/or grumpy?*
Do you have a decrease in libido? (sex drive)*
Have you noticed a decrease in enjoyment of life?*
Have you noticed a decrease in strength and/or endurance?*
Are you falling asleep after dinner?*
Have you noticed a decrease in your ability to play sports?*
Has there been a recent deterioration in your work performance?*
Are your erections less strong?*
Have you lost height?*
Submit Your Answers.
1 in 4 men over the age of 30 are likely to have low testosterone.
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