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Do You Have the Features of Testosterone Deficiency?

The Androgen Deficiency in Aging Males (ADAM) questionnaire is an easy way to answer questions about your sexual health, which can help to see if you need your testosterone level checked.

It is an internationally accredited assessment tool which is often used by doctors when making the assessment and diagnosis of Testosterone Deficiency.  A positive result does not necessarily mean that you have a low testosterone level or require treatment, but can be a helpful guide when discussing your symptoms with your doctor.

ADAM Questionnaire

Please answer the questions below.

Step of

1. Do you have a decrease in libido (sex drive)?

2. Do you have a lack of energy?

3. Do you have a decrease in strength and/or endurance?

4. Have you lost height?

5. Have you noticed a decreased "enjoyment of life"?

6. Are you sad and/or grumpy?

7. Are your erections less strong?

8. Have you noticed a recent deterioration in your ability to play sports?

9. Are you falling asleep after dinner?

10. Has there been a recent deterioration in your work performance?

You may have Testosterone Deficiency. We would recommend a consultation with our experts to discuss a treatment

Sex assigned at Birth (i) *

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Why Are Healthy Testosterone Levels Critical?

Men rely on testosterone, a crucial hormone, for developing and keeping their male sexual traits and functions intact. For healthy men, optimal testosterone levels are necessary for sustaining fertility and sex drive. 

Studies indicate that testosterone is also beneficial to psychological well-being.


Testosterone key to more comprehensive health

The significance of the testosterone hormone is growing in various health-related domains. It plays a crucial role in maintaining robust energy levels and preventing the deterioration of bones.

Research on testosterone replacement therapy (TRT) clinics has shown that approximately 20% or 2 million men over 50 in the EU experience testosterone deficiency syndrome. Unfortunately, only a small percentage of 1% have been appropriately diagnosed and are receiving treatment.

Testosterone plays a crucial role in overall health and well-being.


Before and after TRT

Many patients have shared that testosterone replacement therapy has led to positive outcomes, such as feeling more youthful, robust, happier, and less irritable. TRT has effectively alleviated muscle pain, improved memory, and boosted energy levels and assertiveness. 

Global research has indicated that TRT, or testosterone replacement therapy, can positively impact men's health. These benefits range from alleviating symptoms of depression to increasing lean muscle mass, strengthening bones, reducing fat mass, and improving sexual desire and activity, as well as erectile function.

 Many studies have confirmed the advantages of TRT.

Andropause, Male Menopause or Low T?

There are several names for a medical condition known as Testosterone Deficiency Syndrome. This condition occurs when a low or insufficiently active testosterone level results in symptoms or signs.

The most common terms to describe it include male menopause, andropause, hypogonadism, low testosterone/Low T, and Testosterone Deficiency Syndrome. They all refer to the same underlying medical issue despite the varying names.

We prefer to use the term Testosterone Deficiency Syndrome as it most accurately describes the condition and its cause. We do not use the term "male hormone imbalance" as we do not feel it accurately describes the condition.


Low Testosterone Levels

Certain structures within your body rely on testosterone, a male hormone, to function correctly. When there is a lack of free molecules or low levels of testosterone available, it can result in the effects of testosterone deficiency syndrome.

Symptoms of this syndrome, also referred to as TDS, andropause, low T, or male menopause, may include decreased sex drive, issues with achieving an erection, fatigue, depression, weight gain, difficulty concentrating, night sweats, short-term memory loss, and irritability. (Carruthers, 2016)

Menopause symptoms in men with low T are:


Testosterone Deficiency/ Low T Diagnosis

Doctors typically evaluate a patient's symptoms, medical history, physical examination, and blood test results to determine if they may be experiencing testosterone deficiency syndrome or if there may be other causes for their symptoms. Symptoms commonly reported by those with testosterone deficiency syndrome are carefully considered in the diagnosis process.

Symptoms of low testosterone, also known as testosterone deficiency syndrome, including fatigue, may be caused by other conditions such as diabetes. It is crucial to rule out these conditions before diagnosing and treating low T with testosterone replacement therapy or other treatments.

 Our team can assist with diagnosing testosterone deficiency.

How To Get Testosterone Replacement Therapy (TRT) In The EU?


Going ahead with testosterone treatment (TRT)

After conducting tests and collecting data, the doctor may conclude that the patient has low testosterone levels. They will then explain the advantages and potential risks of testosterone treatments such as TRT or testosterone stimulation therapy. If the patient decides to proceed, then a trial period of the treatment will be started.


Testosterone gel, cream or injections

Testosterone gel, cream, or long-acting injections commonly administer TRT for the initial two to six months. TRT has been proven to be very successful in reducing the symptoms of testosterone deficiency, especially in rejuvenating energy, well-being, and libido. 

Patients who undergo TRT may need to take it for an extended period. If they experience positive effects from the therapy, it can be sustained or adjusted to another form of treatment if necessary.


How safe is hormone replacement therapy for men?

Testosterone treatment, including TRT, has been utilised in the EU and various other nations for over fifty years. During this period, research studies, including in-depth investigations, have validated the safety of testosterone replacement therapy.

Research has shown some concerns regarding the potential effects of TRT on a man's heart health, including an increased risk of heart attacks and potential impacts on circulation. However, a thorough review conducted by the European Medicines Agency has not found any definitive evidence to support these claims.

It has been a concern since the 1940s that there may be a link between testosterone replacement therapy (TRT) and prostate cancer. However, a review conducted by the British Society of Sexual Medicine has not found any convincing evidence of such a connection. Individuals are thoroughly examined before undergoing a TRT course to ensure that any pre-existing prostate cancer is excluded. A sensitive blood test is also conducted to measure prostate-specific antigen (PSA) levels.

Regular treatment monitoring is crucial for its safety and effectiveness, particularly for administering the correct dosage. Consistent blood tests and laboratory measurements are necessary to establish the diagnosis and monitor the treatment carefully. Following the initial consultation and diagnosis, in-depth clinical examinations should be conducted every 3-6 months.


What forms of Testosterone Replacement Therapy (TRT) are available in the EU?

There are various options available for testosterone replacement therapy (TRT). The most common methods are through injections or testosterone gel, but we offer different treatments to accommodate different lifestyles.

During the initial two to six months of treatment, we typically advise using a testosterone gel that is simple to apply. This method is safe to use daily if you think it's good. In the long run, some patients find it more convenient to receive long-acting injections every six to ten weeks. Another option for treatment involves utilising medications, such as Clomid (Clomiphene Citrate), to increase the body's natural production of testosterone.

Our specialist doctors closely monitor our patients during testosterone replacement therapy to ensure its safety and effectiveness. We closely monitor the progress of your male hormone replacement therapy through our on-site pathology lab and blood testing services. You can explore alternative treatment options during your regular follow-up appointments, and switching to other types of treatment is a simple process.