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Low Testosterone - Do you suffer from Male Hypogonadism / Androgen Deficiency?

Male hypogonadism is a condition in which the body does not produce enough of the testosterone hormone; the hormone that plays a key role in masculine growth and development during puberty. There is a clear need to increase the awareness of hypogonadism throughout the medical profession, especially in primary care physicians who are usually the first port of call for the patient. Hypogonadism can significantly reduce the quality of life and has resulted in the loss of livelihood and separation of couples, leading to divorce. It is also important for doctors to recognize that testosterone is not just a sex hormone. There is an important research being published to demonstrate that testosterone may have key actions on metabolism, on the vasculature, and on brain function, in addition to its well-known effects on bone and body composition.
Androgen deficiency is a pervasive problem in the older male population and is thought to be responsible for many symptoms once considered to be the result of normal aging. Numerous methods have been proposed to facilitate the detection of men at risk for androgen deficiency.
 
Below, you may find two screening tools, the Saint Luis University Androgen Deficiency in the Aging Male (ADAM) and the quantitative Androgen Deficiency in the Aging Male (qADAM) questionnaires who can help you understand the symptoms of Androgen Deficiency.
 
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Questions used as part of the Saint Luis University ADAM Questionnaire.
 
01. Do you have a decrease in libido (sex drive)?
02. Do you have a lack of energy?
03. Do you have a decrease in strength and/or endurance?
04. Have you lost height?
05. Have you noticed a decreased "enjoyment of life"?
06. Are you sad and/or grumpy?
07. Are your erections less strong?
08. Have you noted a recent deterioration in your ability to play sports?
09. Are you falling asleep after dinner?
10. Has there been a recent deterioration in your work performance?
 
NOTE: A positive questionnaire result is defined as a "yes" answer to questions 1 or 7 or any three other questions.
 
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Questions used as part of the qADAM Questionnaire.
 
01. How would you rate your libido (sex drive)?
      1(terrible) 2(poor) 3(average) 4(good) 5(excellent)
02. How would you rate your energy level?
      1(terrible) 2(poor) 3(average) 4(good) 5(excellent)
03. How would you rate your strength/endurance?
      1(terrible) 2(poor) 3(average) 4(good) 5(excellent)
04. How would you rate your enjoyment of life?
      1(terrible) 2(poor) 3(average) 4(good) 5(excellent)
05. How would you rate your happiness level?
      1(terrible) 2(poor) 3(average) 4(good) 5(excellent)
06. Ho strong are your erections?
      1 2 3 4 5 (1=extremely weak, 5=extremely strong)
07. How would you rate your work performance over the past 4 weeks?
      1(terrible) 2(poor) 3(average) 4(good) 5(excellent)
08. How often do you fall asleep after dinner?
      1(never) 2(1-2/week) 3(3-4/week) 4(5-6/week) 5 (every night)
09. How would you rate your sports ability over the past 4 weeks?
      1(terrible) 2(poor) 3(average) 4(good) 5(excellent)
10. How much height have you lost?
      1(2" or more) 2(1.5-1.9") 3(1-1.4") 4(0.5-0.9") 5(none-0.4")
 
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The Saint Louis University ADAM questionnaire.
 
The quantitative ADAM questionnaire: a new tool in quantifying the severity of hypogonadism.
 
 
 
Copyright 2010, Nature Publishing Group.
 
This work is licensed under the Creative Commons Attribution-NonCommercial-No Derivative Works 3.0 License.
 
To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/3.0/