Understanding your result
How the ADAM screen works
The screen is considered positive if you answer "yes" to question 1 (sex drive) or 7 (erections), or "yes" to any three other questions. A positive screen simply means it's worth a conversation with your GP and possibly a blood test — it does not confirm low testosterone.
⚕️ A screening questionnaire only. Symptoms overlap with many other causes (stress, sleep, thyroid, depression). Only a blood test ordered by a doctor can assess testosterone. Speak to your GP if symptoms bother you.
Questions
Is the ADAM test accurate?
It's sensitive (catches most cases) but not very specific — many positive screens turn out to have normal testosterone. It's a prompt to seek testing, not a diagnosis.
What causes low testosterone?
Ageing, obesity, poor sleep, certain medications and medical conditions. A GP can investigate and advise.
Sources
Evidence-based · last reviewed July 2026