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Cost and what to expect

Why is an in-person physical evaluation required before starting testosterone therapy?

An in-person physical exam is required by clinical safety standards to assess cardiovascular, prostate, and testicular health, and to comply with regulations governing controlled substances.

Testosterone is a Class III controlled substance that requires strict medical oversight. An in-person visit allows the physician to perform a comprehensive physical examination, including evaluating blood pressure, cardiovascular status, body composition, and signs of secondary hypogonadism.

Physical examination helps identify conditions that might influence treatment safety, such as undiagnosed heart murmurs, peripheral edema, gynecomastia, testicular atrophy, or abnormal prostate findings.

This thorough, hands-on clinical baseline ensures that testosterone therapy is medically indicated, appropriate, and tailored specifically to your physical profile before any treatment is initiated.

Risks and limitations

  • Remote or online evaluations without a physical examination can miss underlying physical contraindications or structural causes of hormone deficiency.
  • An in-person exam is a mandatory clinical standard at Men's Medical Institute before prescribing hormone therapy.

Schedule Your In-Person Exam

Book a 30-minute in-person clinical evaluation with Dr. Mimlitz at our St. Louis office to establish your care.