| 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:-
adult mumps
, orchitis
or other testicular problems
or persistent urinary infection
or a prostate operation
or inflammation
or 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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