What is the ADAM questionnaire?

The Androgen Deficiency in the Aging Male (ADAM) questionnaire is a 10-question, self-report screening tool designed to identify symptoms of low testosterone (hypogonadism) in men. It acts as a non-invasive, preliminary check, often used for identifying low libido, fatigue, or mood changes, but it does not provide a definitive diagnosis. This test allows us to make sure you have symptoms of low testosterone and help guide your care to appropriate therapy.

Key points of the ADAM questionnaire

Purpose: Quickly find men who may have low testosterone.

Accuracy: High sensitivity (88%) but lower specificity (60%).

How it’s scored: A test is "positive" if the person answers "Yes" to question 1 (low libido) or question 7 (weaker erections), or "Yes" to any other three questions.

Symptoms checked (10 items)

  • Lower sex drive

  • Low energy

  • Less strength or endurance

  • Lost height

  • Less enjoyment of life

  • Feeling sad or irritable

  • Weaker erections

  • Worse sports ability

  • Falling asleep after dinner

  • Decline in work performance

If you have answered yes to 3 questions or answered yes to questions 1 or 7 please reach out. We would love to draw some initial lab work to see if we can’t find a cause for how you feel.

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