How to Use the Male Menopause Screening Tool
As men age, testosterone levels decline gradually, which can bring on symptoms like fatigue, reduced libido, loss of strength, and low mood — a pattern commonly called male menopause. This screening tool uses the internationally recognized 10-item ADAM (Androgen Deficiency in Aging Male) questionnaire to give you a reference read on whether signs of low testosterone are present.
The ADAM scoring rule is straightforward: a positive result occurs if you answer yes to question 1 (decreased libido) or question 7 (weaker erections), or if you answer yes to 3 or more of the remaining questions. This questionnaire is highly sensitive, meaning it's good at flagging anyone who might have low testosterone, but its specificity is lower — a positive result doesn't guarantee your testosterone is actually low.
If your result comes back positive, the next step isn't to self-diagnose — it's to get an actual blood test through a urologist or endocrinologist to confirm your testosterone level. And even with a negative result, if symptoms persist, it's worth discussing with a doctor. This tool is a reference screening aid, not a substitute for medical diagnosis.
Frequently Asked Questions
Yes. Testosterone levels gradually decline as men age, which can cause symptoms like fatigue, reduced libido, and loss of strength. This is often referred to as male menopause, or late-onset hypogonadism.
The ADAM questionnaire is highly sensitive but has low specificity as a screening tool, so a positive result doesn't automatically mean you need treatment. A blood test to check your actual testosterone level is needed for an accurate diagnosis.
Testosterone decline typically becomes more noticeable from the mid-40s onward, but stress and lifestyle factors can bring on symptoms earlier for some men.