Men's Questionnaire

Please rate your symptoms between 0-10, with 0 indicating no symptoms and 10 indicating severe symptoms.

Progesterone Symptoms

  • Sleep Disturbances
  • 0
  • 1
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  • 9
  • 10
  • No elements found. Consider changing the search query.
  • List is empty.
  • Depression
  • 0
  • 1
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  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • No elements found. Consider changing the search query.
  • List is empty.
  • Irritability
  • 0
  • 1
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  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • No elements found. Consider changing the search query.
  • List is empty.
  • Anxiety
  • 0
  • 1
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  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • No elements found. Consider changing the search query.
  • List is empty.
  • Restless Legs Syndrome
  • 0
  • 1
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  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • No elements found. Consider changing the search query.
  • List is empty.
  • Mood Swings
  • 0
  • 1
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  • 5
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  • 9
  • 10
  • No elements found. Consider changing the search query.
  • List is empty.
  • Migraine Headaches
  • 0
  • 1
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  • 5
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  • 8
  • 9
  • 10
  • No elements found. Consider changing the search query.
  • List is empty.
  • Palpitations
  • 0
  • 1
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  • 3
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  • 5
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  • 8
  • 9
  • 10
  • No elements found. Consider changing the search query.
  • List is empty.

Estrogen Symptoms

  • Night Sweats
  • 0
  • 1
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  • 5
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  • 9
  • 10
  • No elements found. Consider changing the search query.
  • List is empty.
  • Hot Flashes
  • 0
  • 1
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  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • No elements found. Consider changing the search query.
  • List is empty.
  • Dry Skin
  • 0
  • 1
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  • 5
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  • 7
  • 8
  • 9
  • 10
  • No elements found. Consider changing the search query.
  • List is empty.

Testosterone Symptoms

  • Erectile Dysfunction
  • 0
  • 1
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  • 10
  • No elements found. Consider changing the search query.
  • List is empty.
  • Fatigue
  • 0
  • 1
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  • 10
  • No elements found. Consider changing the search query.
  • List is empty.
  • Low Sex Drive
  • 0
  • 1
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  • 3
  • 4
  • 5
  • 6
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  • 8
  • 9
  • 10
  • No elements found. Consider changing the search query.
  • List is empty.
  • Poor Focus
  • 0
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  • 10
  • No elements found. Consider changing the search query.
  • List is empty.
  • Body & Joint Pain
  • 0
  • 1
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  • 10
  • No elements found. Consider changing the search query.
  • List is empty.
  • Memory Lapses
  • 0
  • 1
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  • 10
  • No elements found. Consider changing the search query.
  • List is empty.
  • Low Exercise Tolerance
  • 0
  • 1
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  • 5
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  • 10
  • No elements found. Consider changing the search query.
  • List is empty.
  • Loss of Muscle Tone
  • 0
  • 1
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  • 4
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  • 10
  • No elements found. Consider changing the search query.
  • List is empty.
  • Acne
  • 0
  • 1
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  • 3
  • 4
  • 5
  • 6
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  • 8
  • 9
  • 10
  • No elements found. Consider changing the search query.
  • List is empty.
  • Hair Loss
  • 0
  • 1
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  • 5
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  • 9
  • 10
  • No elements found. Consider changing the search query.
  • List is empty.
  • How did you hear about us?
  • TV
  • Online Search
  • Friend
  • Dr. Referred
  • Social Media
  • Online Ad
  • Other
  • No elements found. Consider changing the search query.
  • List is empty.
  • phone
  • email
  • No elements found. Consider changing the search query.
  • List is empty.

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