Male Low Testosterone Symptoms
Please fill out the checklist to evaluate your symptoms.
Date
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Month
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Day
Year
Date
Name
First Name
Last Name
Physical Symptoms
Symptom Severity
None
Low
Moderate
Severe
Fatigue Or Low Energy
Loss of Muscle Mass and Strength
Increased Body Fat
Decreased Bone Density
Joint and Muscle Pain
Hot Flashes or Night Sweats
Reduced Stamina or Endurance
Hair Loss
Dry Skin
Weight Gain
Reduced Sweating
Sexual Symptoms
Symptom Severity
None
Low
Moderate
Severe
Reduced Libido
Erectile Dysfunction
Weaker or Less Frequent Erections
Decreased Ejaculatory Volume
Loss Of Sexual Pleasure
Testicular Shrinkage
Psychological Symptoms
Symptom Severity
None
Low
Moderate
Severe
Mood Swings
Anxiety and Increased Stress Response
Depression
Irritability
Forgetfulness
Brain Fog
Panic Attacks
Decreased Confidence or Self Esteem
Loss of Motivation or Drive
Sleep Disturbances
Symptom Severity
None
Low
Moderate
Severe
Insomnia
Difficulty Falling Asleep
Poor Sleep Quality
Excessive Daytime Sleepiness
Sleep Apnea or Snoring
Cardiovascular and Metabolic Symptoms
Symptom Severity
None
Low
Moderate
Severe
High Cholesterol
Elevated Blood Pressure
Type 2 Diabetes
Cold Hands and/or Feet
Immune and Inflammatory Symptoms
Symptom Severity
None
Low
Moderate
Severe
Frequent Illness or Slow Recovery
Increased Chronic Inflammation
Allergies, Worsening or More Frequent
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