Partial androgen deficiency syndrome in middle-aged and older men (PADAM) symptom scale (self-rating scale used by the Department of Psychology, Bosphorus University, Istanbul) Always (3 points) Often (2 points) Sometimes (1 point) No (0 points) Total score Physical symptoms: general weakness, insomnia, loss of appetite, bone and joint pain, vasodilatory symptoms, hot flashes, bouts of sweating, heart Psychosomatic symptoms: forgetfulness, fearfulness, restlessness, irritability, loss of interest in things of previous interest, hypogonadism The patient may have physical symptoms plus vasodilatory symptoms with a total score of ≥5, or psychosomatic symptoms with a total score of ≥4, or hypogonadism with a total score of ≥8. Late onset hypogonadism (PADAM), which used to be called male menopause syndrome, may be present, and hospital examination is recommended.