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AMS Questionnaire: Low Testosterone Test


Is it low testosterone? This quiz can be used to track the progress of your testosterone treatment. When you are finished filling in the questionnaire, you will have the opportunity to save your scores and see them plotted on a graph over time. You also have an opportunity to print them in a format suitable for taking to your physician. This will help you discuss your low testosterone symptoms more accurately with your doctor.

Which of the following low testosterone symptoms apply to you at this time? Please, mark the appropriate box for each symptom. For symptoms that do not apply, please mark ?none?.

  Symptoms: none mild moderate severe extremely severe
1. Decline in your feeling of general well-being (general state of health, subjective feeling)
2. Joint pain and muscular ache (lower back pain, joint pain, pain in a limb, general back ache)
3. Excessive sweating (unexpected/sudden episodes of sweating, hot flushes independent of strain)
4. Sleep problems (difficulty in falling asleep, difficulty in sleeping through, waking up early and feeling tired, poor sleep, sleeplessness)
5. Increased need for sleep, often feeling tired
6. Irritability (feeling aggressive, easily upset about little things, moody)
7. Nervousness (inner tension, restlessness, feeling fidgety)
8. Anxiety (feeling panicky)
9. Physical exhaustion / lacking vitality (general decrease in performance, reduced activity, lacking interest in leisure activities, feeling of getting less done, of achieving less, of having to force oneself to undertake activities)
10. Decrease in muscular strength (feeling of weakness)
11. Depressive mood (feeling down, sad, on the verge of tears, lack of drive, mood swings, feeling nothing is of any use)
12. Feeling that you have passed your peak
13. Feeling burnt out, having hit rock-bottom
14. Decrease in beard growth
15. Decrease in ability/frequency to perform sexually
16. Decrease in the number of morning erections
17. Decrease in sexual desire/libido (lacking pleasure in sex, lacking desire for sexual intercourse)

 

If you have any other major symptoms,
please describe them here:

The AMS Questionnaire used with permission from Heineman et al.

Posted February 2004
Updated August 2013

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