HealthRX.com · Printable question sheet
Testosterone for women questions to bring to your prescriber
Use this sheet before a visit about testosterone for low sexual desire, menopause hormone therapy or a compounded product. Fill it in by hand, bring it to your prescriber or pharmacist, and track effects at home.
Medicine and prescriber details
Copy these from the label or prescription slip. Leave blank if unknown.
Testosterone product nameName exactly as printed on the label
Form (patch, cream, injection or other)Write what the product is
Prescriber name and clinic
Pharmacy name and phone
Reason given for prescribingFor example low desire, menopause symptoms or other
Is it FDA-approved or compounded?Ask your pharmacist if unsure
Before the visit
Gather these items and bring them to the appointment.
- Bring all current medicines, hormone products and supplements
- Write down when your periods stopped or whether you had your ovaries removed
- Note whether you are pregnant or could become pregnant
- List any personal or family history of breast cancer
- Note any estrogen or progestogen products you use now or have used
- Check with your pharmacist which testosterone product labels are for women
- Bring the product box, label or insert if you have one
- Write down any hair growth, voice or skin changes you have noticed
Desire, distress and side effect diary
Write one line each time you use the product or notice a change.
| Date | Desire or distress | Hair, voice or skin change | Other effect or note |
|---|---|---|---|
Questions to ask your prescriber or pharmacist
- Is any testosterone product approved by the FDA for low sexual desire in women?
- Is the product I was given labeled for men, for women or for both?
- What side effects should I report to you, and how soon?
- Could this product affect my pregnancy plans or breast health?
- Is this treatment compounded, and what evidence supports it?
- What other options exist for low desire or menopause symptoms I have?
- How will we check whether this treatment is working for me?
- Is this medicine a controlled substance, and how is it stored and tracked?
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.