Aging Male Symptoms (AMS) Scale for Andropause assessment

 

The Aging Male Symptoms (AMS) Scale is a standardized questionnaire used to assess symptoms associated with andropause (testosterone deficiency) in aging men. It helps evaluate the severity of symptoms related to physical, psychological, and sexual health.

 

The AMS Scale consists of 17 questions, categorized into three main domains.

 

Here’s the Aging Male Symptoms (AMS) Scale for self-assessment. Rate each symptom from 1 to 5, where:

• 1 = No symptoms
• 2 = Mild symptoms
• 3 = Moderate symptoms
• 4 = Severe symptoms
• 5 = Extremely severe symptoms

 

Psychological Symptoms

1. Feeling a general decrease in well-being (general state of health, subjective feeling)?
2. Feeling nervous, irritable, or more anxious than usual?
3. Experiencing excessive inner restlessness?
4. Feeling down, depressed, or experiencing mood swings?
5. Feeling physically or mentally exhausted, lacking motivation?

 

Physical (Somatic) Symptoms

6. Experiencing joint and muscle pain?
7. Having excessive sweating (even without physical activity)?
8. Trouble sleeping (difficulty falling asleep, waking up at night)?
9. Increased need for sleep or feeling frequently tired?
10. Feeling a general weakness or decreased strength?
11. Noticing a decline in hair growth (on face, body, or head)?

 

Sexual Symptoms

12. Experiencing reduced sexual desire (libido)?
13. Noticing a decrease in the frequency of morning erections?
14. Having trouble achieving or maintaining an erection?
15. Experiencing a decline in sexual performance or satisfaction?

 

Other Symptoms

16. Gaining weight or noticing an increase in belly fat?
17. Feeling overall less productive or mentally sharp?

 

Find your Score

• Sum up all 17 responses to get a total score.
• The minimum possible score is 17 (if you answered 1 for every question).
• The maximum possible score is 85 (if you answered 5 for every question).

 

Score Interpretation

• Below 26 (No or Minimal Symptoms)
• Your symptoms are mild and not likely caused by testosterone deficiency.
• Maintaining a healthy lifestyle with regular exercise, a balanced diet, and stress management can help optimize well-being.
• 27–36 (Mild Symptoms)
• Some signs of hormonal changes or aging may be present.
• Consider lifestyle modifications such as improved sleep, stress reduction, and strength training.
• If symptoms persist, a doctor may recommend checking testosterone levels.
• 37–49 (Moderate Symptoms)
• You may be experiencing andropause-related issues or low testosterone.
• Blood tests (total & free testosterone, SHBG, LH) can confirm hormone levels.
• Address lifestyle factors (nutrition, weight, stress, sleep).
• Consult a healthcare provider about potential treatments, such as testosterone replacement therapy (TRT) or natural boosters.
• 50 or Above (Severe Symptoms)
• Symptoms may significantly impact your quality of life.
• A doctor should evaluate you for low testosterone and other potential conditions (thyroid issues, metabolic syndrome, depression).
• Treatment options may include TRT, medications, or lifestyle interventions.