The initial appointment at our TRT clinic involves:- Medical history - We'll ask about health conditions, medications, lifestyle and goals for treatment. This helps us determine if TRT is appropriate.- Physical exam - We'll check vitals, height, weight and look for signs of underlying illness. Breast and genital exams check for abnormalities.- Blood draw - We'll test testosterone levels along with cholesterol, PSA, hematocrit and other hormone levels. Low testosterone must be clinically confirmed.- Discussion of treatment - If low testosterone is diagnosed, we educate patients about benefits, expectations, risks and alternatives like clomiphene. Then an individualized plan is created.- Consent forms - If a patient decides to initiate therapy, they must sign consent forms at our clinic indicating they understand potential risks.Starting TRT is a big decision. Our experienced physicians have helped over 500 men optimize their health and quality of life with testosterone therapy. We guide patients through every aspect of the process.