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1. Anthropometrics

2. ADAM Questionnaire

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About

Testosterone is the primary male sex hormone, crucial for muscle mass, bone density, and metabolic health. Levels naturally decline with age, a condition known as hypogonadism when symptomatic. However, diagnosis is complex and involves overlapping factors such as visceral fat, stress, and age-related physiological changes.

This tool serves as a preliminary screener using the ADAM (Androgen Deficiency in the Aging Male) protocol. It combines anthropometric data (BMI) with clinical symptom markers to estimate the statistical probability of deficiency. While it does not analyze blood chemistry, it highlights risk factors that warrant clinical investigation. This tool is private; data is processed locally and never stored.

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Formulas

The Risk Assessment Score utilizes a weighted summation of the ADAM questionnaire and physiological markers.

ADAM Criteria: Deficiency is suspected if:

Answer 1 is YES Answer 7 is YES Count(YES) 3

BMI Impact: Increased adipose tissue converts testosterone to estradiol via aromatase. Risk increases significantly if BMI > 30.

BMI = weightheight2

Reference Data

Age GroupNormal Total Testosterone Range (ng/dL)Free Testosterone (pg/mL)Clinical Note
20 - 29 years400 - 10809.3 - 26.5Peak physiological production window.
30 - 39 years350 - 9508.7 - 25.1Gradual decline begins (approx. 1% per year).
40 - 49 years300 - 8506.8 - 21.5Symptoms of Andropause may start appearing.
50 - 59 years250 - 7505.4 - 19.4Common onset of ED or reduced libido.
60+ years200 - 7004.8 - 18.0Wide variance; health status highly impactful.

Frequently Asked Questions

ADAM stands for "Androgen Deficiency in the Aging Male". It is a standardized screening tool developed by St. Louis University Medical School. While not diagnostic on its own, it has high sensitivity (approx. 88%) for identifying symptomatic hypogonadism.
No. A high score indicates a probability of low levels or that other health issues (depression, thyroid, sleep apnea) are mimicking low testosterone. Only a serum blood test (total and free testosterone, SHBG) performed by a physician can confirm a diagnosis.
Fat cells (adipose tissue) contain the aromatase enzyme, which converts testosterone into estrogen. This creates a feedback loop: lower testosterone makes it harder to lose weight, and more weight lowers testosterone further.
Total Testosterone is the complete amount in your blood. However, up to 98% of it is bound to proteins (SHBG and Albumin) and is biologically inactive. "Free Testosterone" is the tiny fraction actually available for your body to use.