Help us prepare for your appointment by completing this form in advance.
This form includes the ADAM questionnaire - a validated screening tool for androgen deficiency.
Completing it before your consultation gives your doctor a clear clinical picture from the start, which means less time on background questions and more time on solutions. It takes about 5 minutes.
ADAM questionnaire - validated screening tool for testosterone deficiency. Score ≥3 positive (with Q1 or Q7 positive) suggests testosterone deficiency.
Presence of morning erections suggests adequate vascular function.
PHQ-2 quick depression screen
STOP-BANG screening - sleep apnoea is both a cause and consequence of low testosterone.
CRITICAL: Prior anabolic steroid use can suppress the HPA (hypothalamic-pituitary-adrenal) axis and testosterone production.
CRITICAL: Prostate cancer is a contraindication for testosterone therapy.
Testosterone suppresses sperm production. Gonadotropin-based therapy (hCG/FSH) is available as a fertility-preserving alternative.
Anything you would like your doctor to know before your appointment.
Your information is sent securely to your doctor at LoveMyLife. We will not share your details with third parties. By submitting this form, you consent to LoveMyLife contacting you regarding your appointment.