| The
AMS questionnaire (developed and validated by Professor
Lothar Heinemann) is used frequently by doctors in the
diagnosis of testosterone deficiency and monitoring
of treatment, based on the total score. If you wish
to answer these questions, the total score will be calculated
for you. Please note that we are unable to provide medical
advice. |
| For
symptoms 1 - 17, select a value from the pulldown lists
of between 1 and 5 to represent a
severity range from none = 1, mild = 2, moderate = 3,
severe = 4 extremely severe = 5. |
1.
Decline in your feeling of general well-being
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10.
Decrease in muscular strength
(feeling
of weakness)
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2.
Joint pain and muscular ache
(Lower back pain, joint pain, pain in a limb,
general back ache)
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11.
Depressive mood
(Feeling
down, sad, on the verge of tears, lack of drive,
mood swing, feeling nothing is of any use)
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3.
Excessive sweating
(Unexpected/Sudden episodes of
sweating, hot flushes independent of strain)
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12.
Feeling that you have passed your peak
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4.
Sleep problems
(difficulty in falling asleep, difficulty in
sleeping through, waking up early and feeling tired,
poor sleep, sleeplessness)
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13.
Feeling burnt out, having hit rock bottom
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5.
Increased need for sleep, often feeling tired
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14.
Decrease in beard growth
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6.
Irritability
(feeling aggressive, easily upset by little
things, moody)
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15.
Decrease in ability and/or frequency to perform
sexually
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7.
Nervousness
(Inner tension, restlessness, feeling fidgety)
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16.
Decrease in the number of morning erections |
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8.
Anxiety
(Feeling panicky)
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17.
Decrease in sexual desire/libido
(lacking
pleasure in sex, lacking desire for sexual intercourse)
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9.
Physical exhaustion/lacking vitality
(general decrease in performance, reduced activity,
lacking interest in leisure activities, feeling of getting
less done, of achieving less, having to force oneself
to undertake activities) |
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18.
Your age |
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|
Tick(check)
if you have ever had:-
recent weight gain
diabetes
high alcohol intake
adult mumps
orchitis
other testicular problems
persistent urinary infection
a prostate operation
prostate inflammation
vasectomy
We
are carrying out a global study on Androgen Deficiency.
Please tick(check) here if you are NOT willing to
let us use your anonymised data in this study. Thanks.
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