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Add your age, then rate eleven domains from 0 (none) to 3 (severe or definite) for symptoms and common contributors like metabolic disease or chronic opioid/steroid exposure. The tool produces a total score out of 37 with low, moderate, elevated, and high burden bands for primary care or urology/endocrinology visit prep. It does not replace morning testosterone testing, pituitary evaluation when indicated, or shared decision-making about therapy risks.
Last updated: April 20, 2026
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Age contribution in this model: <40 = 0 pts, 40–49 = 2, 50–59 = 3, 60+ = 4 (current: 3).
Score higher if you have diagnosed diabetes or intensive metabolic treatment.
Score higher if any apply; be honest—supplements and underground products still matter.
Total checklist score
16 / 37
Age points: 3 · Symptom/comorbidity points: 13
Moderate pattern—reasonable to bring this summary to a routine primary care or urology visit.
Many people in this band benefit from screening for sleep apnea, depression, thyroid dysfunction, and metabolic syndrome alongside testosterone testing when indicated.
Clinical visit tips
Fatigue and erectile changes are nonspecific; the score is meant to prompt structured evaluation, not self-start hormones.
Clinicians often ask about nocturnal and morning erections as one clue alongside labs—still not diagnostic alone.
Secondary hypogonadism patterns from medications and systemic illness are common reasons for abnormal labs without classic primary testicular failure.
0–9 low burden, 10–18 moderate, 19–27 elevated, 28–37 high. Cut-points are arbitrary educational thresholds, not validated clinical decision rules.
Testosterone therapy can help selected men with consistent biochemistry and bothersome symptoms, but it also carries hematologic, cardiovascular, fertility, and prostate monitoring themes that must be individualized. A higher score here means “many domains align with conversations about possible deficiency,” not “you must start treatment.”
Screen sleep-disordered breathing with our sleep apnea risk calculator.
Get a Custom Calculator for Your PlatformThe built-in demo sums to 16 / 37 with tier moderate on this page’s arbitrary bands—useful for teaching how age points stack with sexual and metabolic symptom points before any lab is drawn.
Share it for men’s health and primary care education
Suggested hashtags: #MensHealth #Testosterone #Hypogonadism #MedEd #Calculator