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Persistent fatigue, low drive, brain fog and lost motivation are easy to write off as stress or age. Often they are, but sometimes they point to low testosterone. Take the clinically recognised ADAM questionnaire to find out whether yours is worth investigating.
Answer 10 quick yes/no questions, based on the clinically recognised ADAM questionnaire, to see whether your symptoms point towards low testosterone. Under a minute, and nothing is stored.
This questionnaire is a screening aid only. It is sensitive but not diagnostic — a positive result does not confirm low testosterone, and a negative result does not rule it out. Only a blood test reviewed by a clinician can tell you for certain.
Testosterone is the primary male hormone, and it does far more than drive libido. It supports energy, mood, focus, muscle and bone, fat distribution, sleep and motivation. Levels peak in your twenties and decline gradually with age, but when they fall below a healthy range the effects can build slowly and quietly until you no longer feel like yourself.
Clinically this is called hypogonadism, or simply low testosterone. It is more common than most men realise, and the majority are never tested because the symptoms are so easily blamed on a busy life. The good news is that, where it is confirmed, it is very treatable.
Low testosterone usually shows up as a cluster of symptoms rather than one. The quiz looks for this pattern, and here is what it is screening for.
Feeling drained despite enough sleep, and flat by mid-afternoon.
A noticeable, persistent drop in libido, one of the most reliable signs.
Slower thinking, poorer recall and difficulty staying focused.
Irritability, a shorter fuse, or losing enjoyment in things you liked.
Muscle and stamina slipping despite training, with slower recovery.
Weight creeping on, particularly around the middle.
The ADAM questionnaire (Androgen Deficiency in the Ageing Male) was developed by clinicians as a quick way to flag men whose symptoms are consistent with low testosterone. It is deliberately sensitive: it is designed to catch as many genuinely affected men as possible, so a positive result is a prompt to investigate, not a diagnosis.
Its real value is clarity and momentum. If you have been wondering whether how you feel is just life or something more, a structured screen gives you a clear, honest answer about whether it is worth a blood test, the only thing that can actually confirm low testosterone. Many men carry these symptoms for years before anyone joins the dots; this takes a minute and points you to the right next step.
Answer 10 quick questions to see whether your symptoms fit the pattern of low testosterone.
Order a simple at-home finger-prick blood test, from 45 pounds, to measure where your testosterone actually sits.
A UK GMC-registered doctor reviews your results alongside your symptoms and tells you, honestly, what they mean.
An at-home blood test, reviewed by a UK doctor, is the only way to know for sure, and there is no obligation to start treatment.
ADAM stands for Androgen Deficiency in the Ageing Male. It is a 10-question screening tool developed by clinicians to identify men whose symptoms are consistent with low testosterone. A positive screen means yes to low libido or weaker erections, or yes to any three other symptoms.
No. It is a screening aid, not a diagnosis. It is intentionally sensitive, so it flags many men who turn out not to have low testosterone, and it can occasionally miss men who do. The only way to confirm low testosterone is a blood test reviewed by a clinician alongside your symptoms.
UK guidance generally supports investigating treatment for men with bothersome symptoms and a total testosterone below around 12 nmol/L, confirmed across two morning blood tests. But the lab normal range is broad and does not account for age or how you feel, which is why we treat the patient, not just the number.
Take the next step and test properly. Order an at-home blood test, and one of our UK GMC-registered doctors will review your results alongside your symptoms. If low testosterone is confirmed and treatment is appropriate, we will discuss your options. If it is not, we will tell you honestly and help you look elsewhere.
Yes. While levels decline with age, low testosterone affects men in their 20s, 30s and 40s too, through genetics, illness, certain medications, chronic stress, poor sleep, excess weight or previous steroid use. Age is not a reason to dismiss the symptoms.
Where it is genuinely low and confirmed by testing, yes. Testosterone replacement therapy (TRT) restores levels to a healthy range under medical monitoring, and most men notice meaningful improvements within the first few weeks to months. Treatment is always doctor-led and tailored to you.
This page and quiz are for general information and do not constitute medical advice or a diagnosis. If you are concerned about your health, speak to a qualified clinician.