What online assessment can and cannot do
Online assessment can make it easier to describe sensitive symptoms, organise history, and identify which blood tests or medical checks are likely to matter. It should not replace clinical judgement. Testosterone treatment decisions require a doctor to consider symptoms, confirmed blood results, contraindications, fertility plans, prostate risk, cardiovascular risk, and alternative causes of symptoms.
ADAM is designed to gather information consistently before doctor review. That helps reduce missing context, but it does not diagnose testosterone deficiency by itself and does not issue prescriptions.
When in-person or urgent care may be needed
Some symptoms need urgent or face-to-face assessment. Chest pain, severe breathlessness, signs of stroke, suicidal thoughts, acute testicular pain, severe infection, or sudden neurological symptoms should be handled through emergency or urgent medical services, not an online TRT pathway.