************MALE HORMONE SURVEY******************
Answer the following questions to determine if you are a candidate for hormone replacement therapy. The "none" box=0 mild=1 moderate=2 severe=3

  • The following symptoms are usually the first to arise in Andropause or, In fact, it is not uncommon to have a fairly high score in the fist section and a low score under the second. this would indicate the start of Andropause which typically occurs in ones late 20's or early 30's

    A score between 0-9 is considered mild. 10-15 moderate and over 15 Severe
  • NONE MILD MODERATE SEVERE
    Excess body fat around the waist
    Difficulties with urination
    Moodiness
    Erectile issues
    Inability or delay in climax
    Mood Changes / Depression

  • A Subtotal of 0-7 is mild./ 8-12 moderate and over 12 severe.
  • MILD MODERATE SEVERE
    MUSCLE LOSS W/O CAUSE
    FATIGUE
    SLOW RECOVERY AFTER EXERTION
    LOW LIBIDO

  • An overall survey score of 0-12 would indicate mild Andropause symptoms. A score between 13-21=Moderate and over 21=Severe to Extreme.

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