Page 159 - Urological Health

History

Screening questionnaires:

Several questionnaires for patients have been developed to help determine whether your symptoms
are related to testosterone deficiency. This is usually the first step. The most common questionnaire
is the called the ADAM (Androgen Deficiency in the Aging Male) questionnaire – see Table 1.

Table 1.The ADAM Questionnaire

1. Do you have a decrease in libido? (yes/no)
2. Do you have a lack of energy?
3. Do you have a decrease in strength and/or endurance?
4. Do you have a decreased enjoyment of life?
5. Are you sad?
6. Are you grumpy?
7. Are your erections less strong?
8. Have you noticed a recent deterioration in your ability to play sports?
9. Are you falling asleep earlier after dinner?
UNDER REVIEW
10. Has there been a recent deterioration in your work performance?
If you’ve answeredYES to questions 1, 7 or any 3 other questions, you may have a testosterone deficiency.

If your doctor suspects testosterone deficiency, you’ll be examined and your doctor may focus on
the following signs and symptoms:

• Decreased libido or sex drive
• Erectile dysfunction
• Loss of energy
• Increasing fatigue or sleepiness
• Lack of motivation
• Irritability
• Depressed mood
• Inability to concentrate
• Sleep disturbances
• Hot flashes
• Decreased muscle mass
• Weight gain or increased body fat
• Reduced bone mineral density (fragile bone structure)

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