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Sexual Health History & Eligibility

Have you been diagnosed with Erectile Dysfunction (ED)?
Are you currently experiencing difficulty getting or maintaining an erection?
How long have you experienced ED symptoms?
Do you have low sex drive or reduced sexual desire?
Do you have difficulty achieving orgasm?
Do you experience premature ejaculation?
Have you ever been diagnosed with Peyronie's disease (penile curvature)?

Medical History

Have you ever had any heart-related conditions (chest pain, heart attack, irregular heartbeat)?
Do you have diabetes (Type 1 or Type 2)?
Have you been diagnosed with high blood pressure?
Do you have high cholesterol?
Have you ever had a stroke or mini-stroke (TIA)?
Do you have any history of kidney or liver disease?
Do you have any bleeding disorders or clotting problems?
Do you experience vision problems such as NAION (optic nerve issues)?
Have you experienced priapism (erection lasting longer than 4 hours)?
Have you been diagnosed with low testosterone (Low-T)?

Lifestyle & Habits

Do you smoke or use tobacco?
How often do you consume alcohol?
How would you rate your daily stress level?
Do you use recreational drugs?
Do you regularly exercise?
How many times per week do you exercise?

Medications & Supplements

Are you currently taking any prescription medications?
Are you taking any vitamins, supplements, or over-the-counter products?
Are you currently taking any nitrate-based medications (for chest pain/angina)?
Have you used ED medications (Viagra, Cialis, Sildenafil, Tadalafil) before?
Are you currently on testosterone replacement therapy (TRT)?

Medical Clearance & Consent

Have you had a blood panel or physical exam in the last 12 months?
Would you be willing to do lab work if required?
Do you consent to a telehealth consultation with a licensed provider?
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Location: 2972 Westheimer Rd. Santa Ana, Illinois 85486

The information provided on the Jently website is for informational and educational purposes only and is not intended as medical advice. Jently does not provide medical diagnoses or treatments without a consultation with a licensed healthcare provider.

All medications, including Sexual health management, weightloss, Hair growth and Herpes cold sores require a doctor’s evaluation, approval, and ongoing monitoring. Individual results may vary, and treatment effectiveness depends on personal health conditions, adherence to prescribed regimens, and lifestyle factors.

Jently is not a substitute for professional medical care. This site is an online healthcare platform that connects patients with licensed medical professionals for telehealth consultations, prescription treatments, ongoing care and for advertisement purpose.

We always recommend to consult a licensed medical professional before starting any treatment.

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