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Sexual Wellness

Ortho

Please select a number with 10 being the most important and 1 being of least concern*

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Painful joints have affected me in the past
These conditions have significantly affected my daily living
My ability to participate in sports such as golf, tennis, and jogging has been affected
Procedures and or medications have been helpful but have not completely alleviated my discomfort
I am interested in finding out about effective non-surgical procedures that could diminish my pain.
Other medical conditions have contributed to my joint discomfort.
Recent sports related injuries or an accident has caused me pain.
Osteoarthritis or rheumatoid arthritis have a tremendous impact on my functional ability

Hair Survey

Please select a number with 10 being the most important to you and 1 being the least of concern.*

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I am concerned about thinning hair or hair loss.
Using products or a non-invasive procedure to enhance hair growth interests me.
Eyebrow or eyelash thickness are important to me.
Hair extensions, braids or weaves have contributed to my hair loss.
Chemotherapy has led to hair loss, but I am interested in my options.
I am willing to follow the doctors’ simple protocol to achieve the most optimum hair regeneration results.

Nutritional deficiency, stress, hormonal imbalance and medication use can often times lead to hair loss or diminished growth of new hair. Which of these if any, do you suspect are an issue?*
Are there any other conditions such as thyroid dysfunction, that you suspect are contributing to your hair loss?*
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I suffer from issues related to achieving adequate sexual fulfillment
My ability to enjoy a gratifying sexual experience has been diminishing
I am having difficulty achieving orgasm
It is difficult for me to maintain an erection or become aroused enough to penetrate during intercourse
I have been treated for sexual dysfunction in the past
I think I may have medical related issues that may be contributing to my problems
I have unsuccessfully tried medication and or procedures to assist me with my sexual concerns
I am interested in learning more about non-invasive, effective methods to improve my sexual health
I am experiencing painful intercourse
My sexual drive or desire is clearly not where I want it to be
I find myself incapable of getting aroused
I am motivated to work with my physician and follow his recommendations completely to improve my sexual wellness