How do I install the Endo T Measurement Diagnosis Against skill?

Run npx skillmds@latest add dromlakhani/endo-t-measurement-diagnosis-against in your terminal (requires Node.js), paste this page's agent-chat prompt into Claude, Cursor, or any MCP-connected agent, or download the SKILL.md file and copy it into your agent's skills directory.

Is Endo T Measurement Diagnosis Against safe to use?

This skill has not completed SkillMD's automated safety review yet. Independent scanners report: SkillSpector: PASS, Skill Scanner: PASS. Capability flags: docs only. SkillMD never runs a skill's scripts for you; review the SKILL.md before installing.

Which AI agents work with Endo T Measurement Diagnosis Against?

This skill is tagged as working with Claude Code, Claude.ai, OpenAI Codex. SKILL.md is an open format, so most agents that read a skills directory can load it too.

Is Endo T Measurement Diagnosis Against free to use?

Yes. Installing skills from SkillMD is free, and the skill stays under its author's original license.

Who published Endo T Measurement Diagnosis Against?

dromlakhani (@dromlakhani) published this skill. Their other Agent Skills are listed on their SkillMD profile.

Endo T Measurement Diagnosis Against by dromlakhani

Name: Endo T Measurement Diagnosis Against
Rating: 4.2 (5 reviews)
Author: dromlakhani

Endo T Measurement Diagnosis Against

The guideline recommends against routinely measuring testosterone in women for diagnostic purposes due to the lack of a reliable correlation between symptoms and testosterone levels. This recommendation is triggered when a clinician orders a testosterone test to assess fatigue, low libido, or mood symptoms without evidence of underlying endocrine pathology.

dromlakhani Updated Sep 8, 2026 10 repo stars

File contents

Recommend against routine testosterone measurement for diagnosis

STEP 1 — Gather Information

Document presenting symptoms (fatigue, low libido, mood changes) and screen for known endocrine disorders (hypopituitarism, adrenal insufficiency, surgical menopause, chronic glucocorticoid use). If a clear endocrine disorder is identified, proceed to Step 2; otherwise, proceed to Step 4.

STEP 2 — Rule In / Rule Out

Determine whether testosterone measurement is being considered for diagnostic evaluation of nonspecific symptoms versus monitoring in known endocrine disease. If the intent is diagnostic evaluation of nonspecific symptoms, proceed to Step 3; if for monitoring known disease, proceed to Step 4 (measurement may be appropriate).

STEP 3 — Classify or Stratify

Since no reliable correlation exists between symptoms and testosterone levels, classify the situation as "routine testosterone measurement not indicated for diagnosis." Proceed to Step 4.

STEP 4 — Decide

Recommend against ordering testosterone test; instead, focus on evaluating other causes of symptoms and consider referral if endocrine pathology is suspected. End.

Clinical Guardrails / Mimics / Pitfalls

Do not order testosterone solely based on nonspecific symptoms; avoid interpreting low testosterone as diagnostic of androgen deficiency syndrome; refrain from using testosterone levels to guide therapy in women with low libido without a confirmed diagnosis of hypoactive sexual desire disorder; be aware of assay variability and the lack of standardized reference ranges for women.

Concrete Clinical Example

A 45‑year‑old woman reports fatigue and decreased libido for three months. She has regular menstrual cycles, no history of pituitary or adrenal disease, and is not taking glucocorticoids. The clinician considers ordering a testosterone level. Following the guideline, testosterone measurement is not recommended; instead, evaluate sleep, mood, medications, and consider HSDD assessment if appropriate.

Source: Androgen Therapy in Women: A Reappraisal: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2014, DOI:10.1210/jc.2014-2260

---name: endo-t-measurement-diagnosis-againstdescription: The guideline recommends against routinely measuring testosterone in women for diagnostic purposes due to the lack of a reliable correlation between symptoms and testosterone levels. This recommendation is triggered when a clinician orders a testosterone test to assess fatigue, low libido, or mood symptoms without evidence of underlying endocrine pathology.---# Recommend against routine testosterone measurement for diagnosis## STEP 1 — Gather InformationDocument presenting symptoms (fatigue, low libido, mood changes) and screen for known endocrine disorders (hypopituitarism, adrenal insufficiency, surgical menopause, chronic glucocorticoid use). **If a clear endocrine disorder is identified, proceed to Step 2; otherwise, proceed to Step 4.**## STEP 2 — Rule In / Rule OutDetermine whether testosterone measurement is being considered for diagnostic evaluation of nonspecific symptoms versus monitoring in known endocrine disease. **If the intent is diagnostic evaluation of nonspecific symptoms, proceed to Step 3; if for monitoring known disease, proceed to Step 4 (measurement may be appropriate).**## STEP 3 — Classify or StratifySince no reliable correlation exists between symptoms and testosterone levels, classify the situation as "routine testosterone measurement not indicated for diagnosis." **Proceed to Step 4.**## STEP 4 — DecideRecommend against ordering testosterone test; instead, focus on evaluating other causes of symptoms and consider referral if endocrine pathology is suspected. **End.**## Clinical Guardrails / Mimics / PitfallsDo not order testosterone solely based on nonspecific symptoms; avoid interpreting low testosterone as diagnostic of androgen deficiency syndrome; refrain from using testosterone levels to guide therapy in women with low libido without a confirmed diagnosis of hypoactive sexual desire disorder; be aware of assay variability and the lack of standardized reference ranges for women.## Concrete Clinical ExampleA 45‑year‑old woman reports fatigue and decreased libido for three months. She has regular menstrual cycles, no history of pituitary or adrenal disease, and is not taking glucocorticoids. The clinician considers ordering a testosterone level. Following the guideline, testosterone measurement is not recommended; instead, evaluate sleep, mood, medications, and consider HSDD assessment if appropriate.**Source:** Androgen Therapy in Women: A Reappraisal: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2014, DOI:10.1210/jc.2014-2260

Frequently asked questions