Name: Young Wellness Center
Address: 751 Blossom Hill Rd Suite B, Los Gatos, CA, 95032
Telephone: +1-408-761-6781
Price range: $$$

1. Do you find it difficult to concentrate?*
- Never
- Occasionally
- Moderately
- Frequently

2. Do you have lack of or an incomplete erection?*
- Never
- Occasionally
- Moderately
- Frequently

3. Do you have difficulty exercising?*
- Never
- Occasionally
- Moderately
- Frequently

4. Do you experience low libido?*
- Never
- Occasionally
- Moderately
- Frequently

5. Have you been gaining weight even with exercise?*
- No
- Slightly 1-5 lbs
- Moderate 5-10 lbs
- Significant 15 lbs

6. Do you have difficulty with urination?*
- Never
- Occasionally
- Moderately
- Frequently

8. Do you suffer from premature ejaculation?*
- Never
- Occasionally
- Moderately
- Frequently

10. Have you been experiencing and inability to reach orgasm or no orgasm at all?*
- Never
- Occasionally
- Moderately
- Frequently

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Calculated Score
Your results show that it is “Unlikely” that you may be affected by one of these conditions.
Your results show that it is “Likely” that you may be affected by one of these conditions.
Your results show that it is “Highly Likely” that you may be affected by one of these conditions.
Your results show that it is “Almost Positive” that you may be affected by one of these conditions.
Low testosterone, low androgens, excess estrogen, ED, Premature ejaculation, Delayed or inhibited ejaculation, low libido, Diabetes leading to sexual disfunction, heart disease leading to sexual dysfunction.

We recommend further testing to correctly diagnose the condition to then be able to discuss the most appropriate course of treatment.

Book you complimentary consultation and we can discuss the tests we can run based on the information you have provided us.
Name*
Last Name*
Email*
Phone*
Do you want to be contacted regarding this result?
- Yes
- No
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Sexual Health – Men

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