STRIANT - Professional - Hypogonadism - Screening Your Patients

Men who believe they may be suffering from low testosterone or hypogonadism can pre-screen themselves for hypogonadism with the Androgen Deficiency in Aging Men (ADAM) questionnaire. The ADAM questionnaire consists of 10 simple questions that will help your patient to determine if he has symptoms of hypogonadism.

Questionnaire for screening your patients

	Question	Check One

1	Do you find that you don’t feel like having sex as much as you used to (a decrease in libido)?	Yes No

2	Do you have a lack of energy?	Yes No

3	Do you have a decrease in strength and/or endurance?	Yes No

4	Have you lost height?	Yes No

5	Have you noticed a decreased “enjoyment of life”?	Yes No

6	Are you sad and/or grumpy?	Yes No

7	Are your erections less strong?	Yes No

8	Have you noted a recent deterioration in your ability to play sports?	Yes No

9	Are you falling asleep after dinner?	Yes No

10	Has there been a recent deterioration in your performance at work?	Yes No

Androgen Deficiency in Aging Men Questionnaire, John Morley, M.D.,
Saint Louis University School of Medicine, June 1997

© Columbia Laboratories, Inc., 2004. All Rights Reserved.
The information contained in this website is intended for healthcare professionals in the United States. This information has not been approved for the general public.