Hormones- Men
Men’s Hormone Questionnaire
Changes in a man’s hormones begin to take place at 30 years of age. Male Hormonal Imbalance such as andropause, may be related to many other secondary health concerns. Proper assessment and a treatment plan are important to optimize one’s health.
This subjective questionnaire will give your health care practitioner a quick summary of symptoms or signs that may be related to your degree of overall hormonal health risk. It is not a substitute for professional medical advice from your health care provider.
1.____ Do you have low energy or stamina?
2.____ Do you have a difficulty building muscle mass?
3.____ Are you less active in social engagements or sports ?
4. ____ Do you feel that your performance at work has reduced?
5. ____Are you sleeping too much or too little ?
6. ____ Have you had erectile dysfunction?
7. ____ Do you experience digestive upset?
8. ____ Do you suffer from poor overall health?
9. ____ Are you irritable or angry often ?
10. ____ Do you feel less focused or forgetful?
11. ____ Has your libido decreased?
12. ____ Do you wake to go to the bathroom at night?
13. ____ Do you have any discomfort on urination?
14. ____ Have you lost height ?
15. ____ Are you overweight?
If you have 2 or more Y answers you may be at risk for male hormone concerns .
It is recommended to consult with your health care professional team.
