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ADAM Score Explained

The ADAM questionnaire (Androgen Deficiency in the Aging Male) is a simple 10-question screening tool used to flag possible symptoms of low testosterone. It asks about libido, energy, strength, mood and erections — each answered yes or no.

What it is

ADAM is a screening tool, not a diagnosis. It is designed to be sensitive — it catches most men who may have low testosterone — but it is not specific, meaning it also flags many men who turn out to have normal levels.

What it is not

It does not measure testosterone. It cannot diagnose hypogonadism. A positive screen simply suggests it may be worth testing blood levels (total and free testosterone, ideally a morning draw) with a clinician.

How to use it

  1. Complete the 10 questions honestly — no one sees it but you.
  2. If you answer yes to questions 1 or 7, or to any three others, consider a discussion with a doctor.
  3. Bring the result to your appointment as a conversation starter, not a demand.

Limitations

Many symptoms — fatigue, low mood, reduced libido — have other causes: sleep deprivation, stress, thyroid issues, depression, medications. A thorough clinician will consider these before treating testosterone.

Educational information only — not medical advice. Always consult a qualified healthcare professional.

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