Dr Beatty is dual Specialist GP accredited (FRACG) & Physician Qualified (MRCP Lond), and has a long & established interest in men’s health.
Ejaculatory issues that commonly present at the men’s health clinic include:
- Erectile Dysfunction for which there are various treatment options including a self-administered injection.
- Premature ejaculation for which there are a variety of good treatment options.
- Delayed ejaculation
STD testing. Chlamydia in Australia is now more common in males than females.
Men are on the whole less likely then women to seek help from a doctor. Other key aspects of men’s health include:
- Sleep Apnoea: 2-3 times more commonly in men than women.
- Cardiovascular disease occurs on average around 10 years earlier in men.
- High Blood Pressure is more common in men than women before the age of around 45.
- Haemochromatosis occurs many years earlier in men.
- Kidney Stones: 70% occur in men
There is an important clinical role for testosterone replacement therapy which is prescribed in accordance to national and international clinical guidelines. Therapy should be monitored with a view to continuing it only where there is demonstrable improvement.
The most common cancers in men in Australia are:
- Skin Cancer
- Prostate Cancer
- Bowel Cancer: 1 in 10 men get colorectal cancer (compared with 1 in 15 women)
- Lung Cancer
There are a number of issues that may affect the male genital organ including:
- Hydrococele (fluid collection in the scrotum)
- Infection of the testicle (Orchitis) or, more common, the epididymis (epididymitis)
- Epididymal Cyst (very common – and can often be diagnosed clinically without a scan)
- Dermatological conditions: Psoriasis, Dermatitis, Scabies, Balanitis (foreskin infection), molluscum, genital warts. Lichen Sclerosus and Lichen planus have typical appearances in males and are also important conditions to diagnose and treat.
There are also a number of normal variations of penile anatomy. The skin or head of the penis (the glans) may also have small pink bumps which have a variety of names. The doctor will let you know the name of any normal variation that might be present.
Gynaecomastia is enlargement of the male breast tissue caused by excessive glandular tissue (true gynaecomastia). More common is pseudo-gynaeomastia which is caused by excessive fatty non-glandular tissue. The doctor can distinguish these two by a careful examination. True gynaecomastia is fairly common between the ages of 10 and 17, and in men age 50 to 70. There are two broad elements to the assessment of gynaecomastia: Is there an underlying medical problem, and is it a cosmetic issue?