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Male Consultation

  • Marital Status
  • How is your physique ?
  • How is your appetite ?
  • Do you have constipation ?
  • Type of food that you eat.
  • Do you consume Liquor or Wine
  • Are you addicted to any other intoxicant (e.g. liquor/wine etc.) ?
  • Do you suffer from sleeplessness ?
  • Do you suffer from excessive urination ?
  • Do you feel any irritation or burning sensation while passing urine ?
  • How is the flow of urine ?
  • Do you suffer from Involuntary Urination ?
  • Do you suffer from Spermatorrhoea (i.e. involuntary flow of semen) ?
  • Do you have Nocturnal Emissions during sleeping, more than 2-3 times a month ?
  • Do you feel any pain or swelling in testicles ?
  • Do you suffer, or have you ever suffered from any venereal disease (Syphilis / Gonorrhoea) ?
  • Does any mucous (pus / fluid) pass out with urine ?
  • Do you face the following problems :
  • (a) Lack of erection
  • (b) Lack of stiffness
  • (c) Premature ejaculation
  • (d) Lack of sex desire
  • Is there any deformity in the male organ ?
  • Do you suffer from High Blood Pressure ?*
  • Are you suffering from Diabetes ?*
  • Have you suffered from any disease earlier ?
  • "All fields marked with (*) are mandatory before submission."
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