procedure is performed under local anesthesia in our office
Dr Stein technique

BOOK AN APPOINTMENT

OTTAWA-GATINEAU

Ottawa Medical Group

Lower costs than other local reversal clinics. Contact us for more information.

MONTREAL

REMD Solutions Inc.

Lower costs than other local reversal clinics. Contact us for more information.

HAWKESBURY

Ruby Medical Center

Lower costs than other local reversal clinics. Contact us for more information.

CONTACT ONE OF OUR CLINICS

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If the doctor who referred you is not your family doctor, please write the name of your usual family physician.


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Medical History

Have you ever been diagnosed with any medical conditions?

Do you take prescription medications?

Do you take non-prescription drugs (aspirin)?

Are you allergic to any medications?

Do you have any bleeding problems?

Have you ever fainted or do you get queasy/faint with medical things like a blood test?

Have you ever had surgery to the scrotum or testicles including, but not limited to vasectomy, undescended testicles, torsion of the testicles, hydrocoele, varicocoele, hernia repair in childhood, tumor/cyst,growth in the scrotum or removal of a testicle?


Have you ever had genital herpes or genital warts?

Have you ever had a disease that can be transmitted by blood including, but not limited to, hepatitis or AIDS?

Have you ever had pain in the scrotum due to epididymitis or other cause?

Reference

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