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The initial consultation explores your symptoms, medical history and possible causes of your concerns. The physician considers hormonal and non-hormonal contributors and discusses whether further assessment is needed.
Your consultation may include relevant questionnaires, bloodwork requisitions and a discussion of care options, including their benefits, risks and limitations. Low testosterone is assessed using symptoms and blood-test findings together. A low result generally needs confirmation with another morning sample before the diagnosis is established. Your physician explains the appropriate testing instructions.
The term andropause is often used for concerns about testosterone as men age. It does not mean that every man develops testosterone deficiency or needs hormone treatment.
Choose this appointment for an initial assessment of possible testosterone deficiency. Concerns may include:
These concerns can have other causes. The assessment helps determine what needs investigation.
If you have already completed your assessment with Bina and need a review of results or progress, choose the andropause follow-up according to your physician’s instructions.
Follow-up appointments continue the assessment or care plan started at your initial consultation. They provide time to interpret results, review symptoms and discuss the next step. When treatment has begun, the physician also assesses response, side effects and monitoring needs.
Results review and care planning: Your physician interprets the available findings and considers appropriate care. This may include addressing contributing health or lifestyle factors, further investigation, or discussing TRT when medically suitable.
Monitoring after treatment begins: Follow-up helps determine whether the plan is helping and remains appropriate. Monitoring can include symptoms, side effects, testosterone levels and blood counts, with prostate assessment when indicated. The plan may continue, change or require further investigation.
Testosterone therapy can reduce sperm production. Tell your physician if you are planning to have children before considering treatment.
Choose this appointment after your initial andropause assessment, or when Dr Kourosh Lalavi has asked to review your results or progress.
If you have not had an initial assessment or do not have an established care plan with Bina, book the initial consultation instead.
A confidential consultation to assess concerns affecting sexual function. The physician reviews when the problem started, your health history, medications and previous treatment, together with relevant sleep, stress and lifestyle factors.
The review may include:
Erectile dysfunction can be associated with heart and blood-vessel disease as well as other causes. Reviewing your wider health helps guide appropriate care. Examination, bloodwork, treatment, follow-up or referral may be discussed when indicated.
Choose this consultation for erectile dysfunction, premature ejaculation, reduced sexual desire or another concern affecting sexual function.
If you are unsure whether to select this appointment or an andropause assessment, contact the clinic for help choosing the appropriate service.
An assessment of gradual hair thinning, including a receding hairline or thinning at the crown. The physician reviews the pattern and progression, personal and family history, medical conditions, medications, supplements, scalp symptoms and previous treatments.
The discussion may cover medical options, how they are used, their limitations and possible side effects. Hair loss can also be associated with factors such as thyroid problems, iron deficiency, illness or medication. Testing or referral may be appropriate when another cause is suspected; a routine testing panel is not necessary for everyone.
Choose this consultation for gradual thinning that may be consistent with male-pattern hair loss.
Sudden shedding, patchy hair loss, scarring, scalp inflammation or hair loss with other symptoms may require an in-person examination or a different medical service.
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