ADAM questionnaire
The Androgen Deficiency in the Aging Male (ADAM) questionnaire is a fast way to find out if a patient has symptoms or signs that may be related to low testosterone. Simply ask the patient which of the listed symptoms and/or signs below that he has been experiencing, and then click the 'submit' button to view the results.
If results show that the patient has symptoms and/or signs of low testosterone, according to clinical guidelines2-8, this patient should have testosterone levels checked by blood test. The combination of symptoms and/or sign and a low testosterone level (total or free testosterone) constitutes the diagnosis of hypogonadism.2-8
Note that a positive result on the ADAM questionnaire does not necessarily mean that a patient has testosterone deficiency (hypogonadism), which requires the presence of both symptoms and/or signs and a low testosterone level.
The Androgen Deficiency in Aging Males (ADAM) test allows users to gain an insight into whether or not the symptoms they are experiencing may be suggestive of Testosterone Deficiency (TD), and in turn, whether they should visit a doctor to get their testosterone levels checked. To use the tool, the user selects which of the common symptoms of TD apply to them (such as ‘low libido’ and ‘decreased strength and endurance’). Once they have submitted their chosen symptoms, they will be informed in the next step whether their symptoms are suggestive of TD, and given the option to print their results to take to a doctor’s appointment. A positive result does not necessarily mean that the user is definitely suffering from hypogonadism, but it provides a good starting point for a discussion with a professional.
This tool is also available on the patient site to be filled and printed when seeing the doctor.
The ADAM questionnaire is also available as a PDF download below
Recommendations
References
- Morley JE, Charlton E, Patrick P, et al. Validation of a screening questionnaire for androgen deficiency in aging males. Metabolism. Sep 2000;49(9):1239-42. Return to content
- Salonia A, Bettocchi C, Carvalho J, et al. 2020 EAU Guidelines on Sexual and Reproductive Health. Return to content
- Morgentaler A, Traish A, Hackett G, Jones TH, Ramasamy R. Diagnosis and Treatment of Testosterone Deficiency: Updated Recommendations From the Lisbon 2018 International Consultation for Sexual Medicine. Sex Med Rev. Oct 2019;7(4):636-649. Return to content
- Mulhall JP, Trost LW, Brannigan RE, et al. Evaluation and Management of Testosterone Deficiency: AUA Guideline. J Urol. Aug 2018;200(2):423-432. Return to content
- Hackett G, Kirby M, Edwards D, et al. British Society for Sexual Medicine Guidelines on Adult Testosterone Deficiency, With Statements for UK Practice. The journal of sexual medicine. Dec 2017;14(12):1504-1523. Return to content
- Dean JD, McMahon CG, Guay AT, et al. The International Society for Sexual Medicine's Process of Care for the Assessment and Management of Testosterone Deficiency in Adult Men. The journal of sexual medicine. Aug 2015;12(8):1660-86. Return to content
- Morales A, Bebb RA, Manjoo P, et al. Diagnosis and management of testosterone deficiency syndrome in men: clinical practice guideline. CMAJ. Dec 8 2015;187(18):1369-1377. Return to content
- Khera M, Adaikan G, Buvat J, et al. Diagnosis and Treatment of Testosterone Deficiency: Recommendations From the Fourth International Consultation for Sexual Medicine (ICSM 2015). The journal of sexual medicine. Dec 2016;13(12):1787-1804. Return to content
