I understand that hormone therapy will be considered based on my symptoms, health history, laboratory findings, treatment goals, and my provider's clinical judgment.
Depending on my individual needs, treatment may include testosterone, thyroid hormone, DHEA, pregnenolone, or other therapies considered appropriate by my provider.
I understand that individual response to treatment varies and that no specific outcome can be guaranteed.
Potential effects and risks of hormone therapy depend on the medications prescribed and may include changes in red blood cell production/hematocrit, acne or oily skin, hair growth or hair loss in genetically susceptible individuals, fluid retention, libido or sexual function, prostate or urinary symptoms, breast tissue, heart rate, cholesterol or other laboratory markers, and changes related to excessive or insufficient hormone levels.
If testosterone is prescribed, I understand that it can suppress the body's natural testosterone production and sperm production and may significantly reduce fertility. If maintaining or establishing fertility is important to me, I understand that I should discuss this with my provider before beginning treatment.
If thyroid hormone is prescribed, I understand that excessive thyroid hormone may cause symptoms including rapid heart rate, palpitations, tremor, anxiety, sweating, sleep disturbance, or other symptoms of excessive thyroid hormone exposure.
I understand that appropriate laboratory monitoring and follow-up are important components of hormone therapy and that my treatment may be adjusted based on my symptoms, laboratory findings, response, and safety considerations.
I understand that some hormone optimization treatments may involve medications, formulations, doses, or therapeutic goals that differ from conventional approaches or may involve off-label prescribing when considered medically appropriate by my provider.
I have had the opportunity to ask questions regarding treatment, potential benefits, risks, alternatives, and the option not to pursue treatment. I voluntarily consent to hormone therapy when prescribed by my REVV Health provider.
