Hello all :I am medical doctor and I am going to conduct of a study about finasteride complications , I notice that you introduce a scoring number of Dr Malcome in the forum ,does he have any special questionnaire?
what? Sorry, I can’t understand your post.
Nobody knows Dr Malcom Carruthers personally here, the questionnaire was provided by a member who has read some of his material.
Where are you from? What kind of tests will you be doing?
Hello ,and thank you very much for your attention ,would you please send me the origin of the material ?
I don’t have “the origin of the material”. I have no idea what you are talking about.
I’m guessing you are not from North America and English is not your native language, there seems to be some sort of communication barrier here.
Plus you didn’t answer my questions I asked… anyway just look at Hypo’s post and you’ll see the questionnaire. This is the questionnaire:
propeciahelp.com/forum/viewtopic.php?t=218
… and “it was created by a world leading andrologist Dr Malcom Carruthers MD, FRCPath, MRCGP (author of the “Testosterone Revolution” and “Androgen Deficiency in the Adult Male”)” according to Hypo-is-Here.
Cheers.
What’s wrong with his English? You may be skeptical of his post, but it’s not confusing.
He is wondering where the questionairre/scoring table came from. ‘Origin of material’ meaning where the material originated from.
I think he wants to conclude the scores to make a summary.
Fair enough, perhaps I was a bit brash in my 2nd post but all the details we know are contained in the original Questionnaire post, as written by Hypo-Is-Here.
If you look in that post and scroll down, Hypo says "checklist on page 49 of his [Dr Malcolm Carruther’s] book “The Testosterone Revolution”
To me, it would seem the origin of the material is self-explanatory? Maybe I’m wrong though! 
No offense mohsena…
Hello and thank you very much for your attention ,I appreciate you ,as I told you I am going to conduct a study about Finasteride complications in a dermatology research center .realy I do want to know what is the Base of Dr Malcolm scoring ,I should know the logic behind his questionnaire ,I don’t have access to his book ,beacause I live in a country that I can’t buy the book online ,if any one has his book ,would you please send me some more details about the scientific basis of his scoring system.
I appreciate you ,Mohsena
Mohensa
you aren’t going to find in depth information regarding the questionnaire and scoring system from the posters here.
if the link didn’t help you than you’ll need to do that research outside of this forum and come back…if u do find anything.
the posters here are curious members trying to seek an answer. not the actual surveyors of the questionnaire.
good luck
double post see below
I do know Dr Malcolm Carruthers personally.
The origin of the questionaire is simple.
It was developed by Dr Carruthers over a number of years as a means of evaluating the symptomatic likelihood of a man having hypogonadism.
Hypogonadism is defined as a lack of androgens, or a lack of testosterone and/or its metabolites. One of those metabolites is dihydrotestosterone. So a lack of dihydrotestosterone constitues hypogonadism.
Propecia’s principle mechanism of action via finasteride is in the lowering of that poetent androgen dihydrotestosterone and many men prost propecia use are left with low or low normal androgen status and accompanying symptoms.
Many men who report Propecia symptoms have hypogonadism, hence the crossover and usefullness of the symptomatic checklist.
You can purchase the book irrespective of your country of origin via the internet.
A two second search brought me to this link;
Hello " Hypo" and thank you very much for your attention and I appreciate you ,as I told you I live in a country that I can’t buy the books by internet (we haven’t foriegn online system shopping) .by the way I would appreciate you if you tell me some pathophysiological aspect of the items in Dr Malcolm Carruthers questionnaire
Sincerely yours Mohsena
Now you just plain sound sketchy. Live in a country where you can’t buy books on line? What, they don’t have any incoming mail where you live?..but they have Internet.
Why you don’t share this ‘country’ is also sketchy.
I never get my hopes up from posters on the forum(s)…but some do. Luckily no one got all excited when they saw ‘Medical Dr’.
You jokester :roll:
The questionaire is based upon the clear pathophysiological of hypogonadism which is explained/detailed in both of Dr Carruthers books “The Testosterone Revolution” and “Androgen Deficiency In The Adult Male”. It is also detailed in Dr Eugene Shippens book “The Testosterone Syndrome” and is something that can be found via dozens of sources on the internet.
If you google hypogonadism you will find a wealth of legitimate medical sources that detail many of the functional changes that occur as a result of hypogonadism.
Hello and thank you very much for your attention ,would you please how we should answer the age you feel ,this is a vague question for me .
thank you very much for your attention .
The question is supposed to relate to the age the person feels in terms of their overall well-being, capacity of activity etc. People have an idea of how a typical 40, 50, 60 and 70 year old behaves due to their health and it is simply a rough idea of how the person in question resembles most.
The question is vague, but then again even the most specific symptomatic question alone gives very little idea as to hormonal status.
For instance asking about back pain or joint pain alone tells very little to nothing, but in the context of all the other questions and the result that comes back it does build up a very good picture as to the likelihood of there being a sex hormonal disorder.
The point is that this is just one question in a larger set of questions and that due to the nature of the whole set of questions is gives you a good idea as to the hormonal status of the individual, particularly if it is used in conjunction with blood pathology.
You can of course always have hypochondriacs, but they would hopefully be excluded on the basis of case history and extensive bloods.
The symptomatic test is not a replacement for blood pathology or case history, but it is fairly accurate at evaluating the likelihood of a sex hormone disorder in most people. It has been developed over years by one of the world pioneering andrologists and in fact is often more diagnostically useful even than limited blood pathology.
Hypogonadism brings with it very well known symptoms and someone scoring highly on the test is very likely to have hypogonadism. I have seen it where people have scored highly on the checklist and then have had a total testosterone test that suggested that they were not hypogonadal;
where on further investigation it has been found that the individual has had high estradiol and or SHBG or Prolactin and that has either independently caused problems or it has caused a low crucial level of free testosterone.
The symptomatic test/checklist is another diagnostic tool and VERY helpful, but it is not the only tool and it should not be used to diagnose a condition on its own. You have to bear in mind that symptomatic response to hypogonadism is sometimes as reliable as bloods, sometimes more reliable than bloods and occasionally less reliable than bloods. It has its use just as it has its limitations as does most pathology.
P.S
Do not get caught up in the seemingly vagueness of one question, think of the bigger picture that is painted and the fact that it has been shown to work.
If you have a problem with it then I would suggest contacting Dr Malcolm Carruthers and or, Dr Eugene Shippen and or Dr John Crisler because all of them believe in the fundamental importance of symptomatic tests when it comes to endocrinology of this nature.