Testosterone Symptom Check
A free, private 10-question screening based on the ADAM questionnaire, the checklist doctors use to spot symptoms sometimes associated with low testosterone. No signup, nothing stored. It is a conversation starter for your doctor, not a diagnosis.
10 yes/no questions · about 1 minute
Check which symptoms apply to you
This tool uses the ADAM screening questionnaire, a published checklist that doctors use to start a conversation about symptoms sometimes associated with low testosterone. It was studied in men aged 40 to 62. Nothing you answer is saved or sent anywhere: it stays in your browser tab.
Educational screening only. This is not a diagnosis and not medical advice.
What is the ADAM questionnaire?
ADAM stands for Androgen Deficiency in Aging Males. Morley and colleagues published it in 2000 after testing which symptoms were more common in men with low bioavailable testosterone. It was evaluated in 316 Canadian physicians aged 40 to 62, about a quarter of whom had low bioavailable testosterone.[1] The ten questions cover sex drive, erections, energy, strength and endurance, mood, enjoyment of life, height loss, sleepiness after dinner, sports ability and work performance. The wording on this page is a plain-language paraphrase of the original items.
How the score works
Each question is a yes or no. As published, the screen counts as positive if you answer yes to question 1 (lower sex drive) or question 7 (weaker erections), or yes to any three of the other eight questions.[1]There is no numeric severity score and no cutoff for "how low" anything is. The tool simply applies that rule to your answers.
Limits of a symptom questionnaire
- In the original study the ADAM had 88% sensitivity and 60% specificity, so it flags many men whose levels are normal and misses some whose levels are low.[1]
- The symptoms are not specific. Poor sleep, stress, low mood, excess weight, certain medications and many medical conditions can produce the same picture.
- It was validated in men aged 40 to 62, not in younger men or in other populations.
- Endocrine Society guidance recommends diagnosing hypogonadism only in men with consistent symptoms and signs plus unequivocally and consistently low morning testosterone on blood tests, measured with a reliable assay and repeated to confirm.[2] A questionnaire can inform that conversation but cannot replace it.
Planning a test? Read how to get your testosterone tested and use the testosterone by age calculator to put a lab number in context.
Privacy
Your answers are processed in your browser only. They are not stored, uploaded or linked to you, and this page adds no extra tracking of your responses. Standard page analytics, if enabled, only record that the page was visited.
References
- Morley JE, Charlton E, Patrick P, Kaiser FE, Cadeau P, McCready D, Perry HM. Validation of a screening questionnaire for androgen deficiency in aging males. Metabolism. 2000. doi.org/10.1053/meta.2000.8625
- Bhasin S, Brito JP, Cunningham GR, et al.. Testosterone therapy in men with hypogonadism: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2018. doi.org/10.1210/jc.2018-00229
Frequently asked questions
What is the ADAM questionnaire?+
ADAM stands for Androgen Deficiency in Aging Males. It is a 10-item yes/no symptom checklist published in 2000 by Morley and colleagues and tested as a screening aid in 316 physicians aged 40 to 62. It is designed to help flag men who may be worth testing, not to diagnose anything.
Can a quiz tell me if I have low testosterone?+
No. A symptom questionnaire cannot measure hormone levels. In the original study the ADAM had 88% sensitivity and 60% specificity, so it misses some men and flags many who have normal levels. Clinical guidelines base a diagnosis on both consistent symptoms and repeated low morning blood tests, interpreted by a doctor.
How is the ADAM questionnaire scored?+
A screen is considered positive if you answer yes to question 1 (lower sex drive) or question 7 (weaker erections), or if you answer yes to any three of the other eight questions. A positive screen is a prompt to talk with a doctor, not a result about your hormone levels.
What should I do if my result is positive?+
Treat it as a reason to start a conversation, not as a conclusion. Book a visit with a licensed healthcare provider, mention the symptoms, and ask whether a morning blood test is appropriate. Many other things cause the same symptoms, including poor sleep, stress, excess weight, some medications and thyroid or mood conditions.
What if my result is negative but I still feel off?+
A result under the threshold does not rule anything out. The questionnaire misses some men, and your symptoms can have causes unrelated to testosterone. If something is persistent or bothers you, speak with a doctor regardless of the score.
Is my data stored or shared?+
No. Your answers are held in your browser while the page is open and are never sent to our servers or saved. Closing or refreshing the page clears them.
Does this work for men under 40?+
The ADAM was studied in men aged 40 to 62. Younger men can still use it to organize their symptoms before a doctor visit, but the published accuracy figures were not measured in that age group, so treat the result with extra caution.
Keep reading
This tool is for general educational purposes only. It is not a medical device and does not diagnose, treat or screen for any disease. It is not medical advice and is not a substitute for professional care. If you have persistent symptoms or concerns about your health, consult a licensed healthcare provider. THRIVE is a wellness and habit-tracking app.