Aging Male Symptoms (AMS) Self-Assessment

Which of the following symptoms apply to you at this time? Please mark the appropriate box for each symptom. For symptoms that do not apply, please select "None". Once you have completed the questionnaire you can print the results page and hand it to your doctor, or nurse.

If any of these symptoms apply to you, you may want to consult with one of our health care providers. The results of this self assessment quiz are not to be considered as medical advice or diagnoses.

Symptoms  None   Mild   Moderate   Severe  Extremely Severe
Decline in your feeling of general well-being: (general state of health, subjective feeling)
Joint pain and muscular ache: (lower back pain, joint pain, pain in a limb, general back ache)
Excessive sweating: (unexpected/sudden episodes of sweating, hot flushes independent of strain)
Sleep problems: (difficulty in falling asleep, difficulty in sleeping through, waking up early and feeling tired)
Increased need for sleep, often feeling tired
Irritability: (feeling aggressive, easily upset about little things, moody)
Nervousness: (inner tension, restlessness, feeling fidgety)
Anxiety: (feeling panicky)
Physical exhaustion/lacking vitality: (decrease in performance, reduced activity, feeling of getting less done, of having to force oneself to undertake activities)
Decrease in muscular strength: (feeling of weakness)
Depressive mood: (feeling down, sad, on the verge of tears, lack of drive, mood swings, feeling nothing is of any use)
Feeling that you have passed your peak
Feeling burnt out, having hit rock-bottom
Decrease in beard growth
Decrease in ability/frequency to perform sexually
Decrease in the number of morning erections
Decrease in sexual desire/libido: (lacking pleasure in sex, lacking desire for sexual intercourse)

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Dr. L.A. Torres Jr. M.D.
4601 Old Shepard Pl.
Building One, Suite 101
Plano, Texas 75093

Phone: 214-919-2350
Fax: 214-919-2361
Dr. L.A. Torres Jr. M.D.