In the next ten years the prevalence of diseases such as erectile dysfunction (ED), benign prostatic hyperplasia (BPH), prostate cancer and Testosterone deficiency will increase, taking into account the foreseeable longevity of the population. We must bear in mind that more than 70% are unaware of this reality.
The ADAM Syndrome, “Androgen Deficiency Aging Male”, is the clinical manifestation of Androgen Deficiency of the Male Age, andropenia or andropause.
Consequences of androgenic deficiency
Less intellectual agility, concentration, memory and spatial orientation, is what is called cognitive changes. Tendency to a state of depressive mood, fatigue and irritability, reducing the desire to live. Emotional changes and sleep disorders with tendency to insomnia
On a physical level there are many changes: Loss of lean mass that leads to muscle weakness and consequently a decrease in strength and physical vigor. The amount of fat increases and there is a redistribution of the body, with an increase in visceral fat. Hot flushes and increased sweating may occur. Decreases bone mineral density with the possibility of frequent fractures and there is an increased risk of atherosclerosis.
Disorders of urination appear. Sexual desire and libido decrease and the quality of erections worsens, especially at night, which can lead to erectile dysfunction. It does not generally change the count of the number of spermatozoa but if its motility that decreases, the number of anomalies increases and the volume of ejaculate decreases too.
Although it is estimated that nearly 40% of men over the age of 45 have low testosterone levels, our current screening elements lack the specificity to identify most of these patients. Often, many of the symptoms of hypogonadism are subtle, with a slow onset. Consequently, better surveillance and routine screening of at-risk males could detect unrecognized patients.
ADAM Questionnaire on symptoms of low testosterone
(Androgen deficiency in the elderly man)
This basic questionnaire can be very useful for men to describe the type
and the severity of your low testosterone symptoms.
1. Do you have a decreased libido (sexual desire)? yes no
2. Do you have a lack of energy? yes no
3. Do you have a decrease in strength and/or endurance? yes no
4. Have you lost height? yes no
5. Have you noticed that you enjoy life less? Yes
6. Are you sad and/or grumpy? if not
7. Are your erections less strong? yes no
8. Have you noticed a recent deterioration in your ability to
9. Do you usually fall asleep after dinner? yes no
10. Has there been a recent deterioration in your work?
If you answer Yes to number 1 or 7 or if you answer Yes to more than 3 questions,
may have low testosterone
Currently, this test is a tool for detecting the most commonly used (ADAM questionnaire of the University of Saint Louis).
We believe that the ADAM test correlates with serum testosterone, and with other instruments of sexual and hormonal function.
The ADAM questionnaire offers a useful alternative to existing tools for assessing hypogonadism. Unlike most other commonly used questionnaires, it provides results that can be quantified and therefore more easily followed over time.