1. Therapy Information
Procedure: Testosterone Cypionate Injections
Purpose: To treat symptoms related to low testosterone levels
2. Procedure Description
The patient will receive regular injections of testosterone cypionate.
The dosage and frequency will be determined by the healthcare provider based on medical needs.
3. Potential Benefit
Improvement in symptoms associated with low testosterone levels such as fatigue, decreased libido, and muscle weaknes
Possible increase in bone density and muscle strength.
4. Risks and Possible Complications
Potential side effects include, but are not limited to, acne, hair growth, mood swings, and changes in cholesterol levels.
Risk of increased red blood cell count, which can lead to complications such as blood clots.
Possible impact on fertility and testicular shrinkage.
5. Alternatives
Other forms of testosterone replacement therapy (e.g., patches, gels)
Lifestyle changes and non-hormonal medical treatments.
6. Patient’s Responsibilities
To inform the healthcare provider of any pre-existing conditions, allergies, or medication us
To adhere to the prescribed treatment plan and follow-up schedule.
7. Voluntary Participation
Your decision to undergo this treatment is voluntary. You have the right to refuse or discontinue treatment at any time.
8. Questions and Information
You have the opportunity to ask questions about the treatment, and your questions have been answered to your satisfaction.
9. Consent
By signing this form, you acknowledge that you have read and understood the information provided, the risks and benefits of testosterone treatment, and consent to proceed with the treatment under the guidance of your physician.