ADAM | Men's Sexual Health Quiz #menshealth #testosterone

Do you know there is a test that measures libido and testosterone? Well, stay tuned. I'm gonna dive deep into that.

This podcast is for you. The modern man. I'm Dr. Anne Truong, your host. I'm an intimate health medical doctor and best selling author of the book Erectile Dysfunction Fix. I'll do a deep dive into sexual health and performance and how it affects.

Men of all ages and backgrounds.

Sexual so let's get started and be sure to visit my website@sexualhealthformenpodcast.com for more information and resources from the show. See you on the inside.

Hello everyone. Today we're going to talk about a questionnaire that you can actually take. It will take you about two minutes to do that can measure your libido as well as to see if you have testosterone deficiency or decreased testosterone. So testosterone is responsible for a lot of the symptoms that what make you a man. Now know that a man has 100 times more testosterone than a woman. So testosterone is responsible for energy, responsible for increasing focus and, and it's responsible for increasing muscle mass in a man and decreasing body fat as well as effectiveness of building muscles. When you go to the gym, of course, testosterone contribute to libido as well and also improving the strength of your bones, the bone density and is what really make a man a man. Right. Those are the main symptoms to show that when someone has adequate testosterone and then conversely, if you feel fatigue or if you feel like you're not on your A game like you used to be, and if you start to lose muscle mass, you're starting to have more fat and love handles in the breast area and of course decreased libido and also your erection as well. That is actually a symptomatic sign that you have low testosterone. Now oftentimes know that testosterone level is the highest at night time and in the morning. That's why you hear the phrase morning wood. Because at nighttime when a man sleeps, that's when his body recovers physically and psychologically and that's when the testicles make more testosterone. A man can have three to six morning wood a night. It ranges from five minutes to even 10 minutes. So testosterone level is the highest in the morning and start to kind of slowly decrease around 11 o'.

Clock.

But it can fluctuate and it varies from man to man as well. Now know that every man has a different steady state of testosterone, meaning normal range of Testosterone is between 300 to 900. But a man most of his 20s and 30s range from 700 versus somebody ranges at 500, that's just his normal state or maintenance state of testosterone level that make him function at his best. So if you had a testosterone blood measurement and testosterone best measure taken from the blood rather than from saliva or through urine. And if you have a measurement of testosterone let's say at 5pm doesn't necessarily mean that throughout the whole day that it's a. Your measurement is 500. Doesn't necessarily mean throughout the whole day you could be higher than 500, you could be lower than 500. It's just a point in time. And that if a man is less than 50, it's best to have his testosterone measure before 11am so that's when it's like peak and not so much of a case after 50. But also know that the body starts to slow down making testosterone by 1% year after the age of 35, but it's just 1% a year. But a man can compensate degree of loss by maintaining a healthy lifestyle such as Mediterranean diet and exercise, keeping his weight under 30, BMI as well as having adequate sleep and no smoking and really minimizing alcohol because alcohol is actually a dampener of testosterone production as well as contributing in the love handles area. So know that testosterone level do fluctuate and that for me for treatment of a patient with testosterone, whether they're symptomatic or not and not necessarily low testosterone correlate with ed. There are multiple causes of ED and testosterone may be one component of that but not the main component. I always see that if a man has ED he usually have low testosterone but not necessarily low testosterone is the pure cause of ED as well. Again, lifestyle factor is a big factor into ed. So let's go through the test. The test is called the Adam test, a D a M and it stands for androgen deficiency in male and is a validated test that's been used and shown by research through multiple studies. And it's a 10 questions and it's yes or no. Unlike the ED test which is a five question where you answer between one to five. This is just a yes or no. So the first question is and this is how you feel within the past six months is do you have decrease in libido or sex drive? Answer yes or no. And question number two, do you have lack of energy? Yes or no. Do you have a decrease in strength and or endurance? Yes or no. Do you have loss of height? Yes or no. Have you noticed a decrease in enjoyment alive? And then you answer yes or no. 6, are you sad or grumpy? Number 7, are your erection less strong? Number 8, have you noticed a recent deterioration in your ability to play sports? Number nine, are you falling asleep after dinner? Number 10, has there been a recent deterioration in your work performance? Again, yes or no? So how you compile and determine whether you have symptomatic testosterone deficiency is that if you answer question one, yes to question one, which is do you have decrease in libido? And if you answer yes to question number seven, are your erection less strong? If you answer yes to question one or seven, then you may be experiencing a low testosterone. So it's one or the other. Or if you answer three questions that are yes, then you also experience low testosterone level as well. And some of this reason is because of what I mentioned, is that testosterone is involved with libido and erection, energy, bone strength and endurance. Most men will notice these symptoms around probably mid-40s or maybe even in their 30s. It just depends on whatever maintenance level of testosterone they're at. And some are more sensitive to the dropping levels than others. And then also know that what you do with your lifestyle will determine a lot faster rate of loss of testosterone. By just aging, you lose about 1%. But if you're smoking or if you're overweight, you don't exercise, you have a poor diet, the progressive loss will be more than 1%, maybe even up to 3%. And then you add that over the years. However, the good part is that testosterone can be supplemented. You can get testosterone replacement therapy. What that means is that if you're determined that you're symptomatic by taking this questionnaire, if you score yes in question number one, or yes for question number seven, or of the 10 questions, you score three yeses. And then there is testosterone replacement therapy, where you can get additional testosterone either through injections or through a pellet. And a pellet is just little size of a Tic Tac, get inserted underneath your skin on the buttocks and it releases testosterone every day for a duration of about four months. It's bioidentical and you don't have to deal with any injection anything. You have a more steady state of testosterone versus the injection. You have to inject at least once or twice week and with the injection you have peaks and valleys of levels of testosterone. So I prefer usually the pellet. I have pellet myself right now with testosterone and so does my husband. Women need testosterone too. Testosterone. It's helpful for women for their libido. It's helpful for energy and focus. It's also helpful in maintaining muscle mass and also fat loss as well. So I'm a big proponent of women having testosterone, either estrogen pellets or estrogen cream along with progesterone. If you do have uterus, I'm on all three and I can't imagine what life would be for me if I didn't have all three of those hormone replacement therapy. And so is my husband. He's on testosterone pellets as well and guess who is his doctor that is helping him with that. So having said that, there is a test to measure and there is an easy treatment. So if you find yourself symptomatic with low testosterone level and having said that, let me know you have any questions, subscribe to the podcast. I love to hear from you and.

I'll see you in the next episode.

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Until next time.