MEN’S HEALTH CLINIC
Dr Beatty is qualified as both a GP (FRACG) & as a Physician (MRCP Lond). His specialist interest in men’s health in The UK was demonstrated by regular teaching of GP Trainees about ED, PED & prostate issues.
Men are less likely than women to seek help from a doctor. He feels that his main strengths as a men’s heath doctor are:
- Experience & Current knowledge of both health issues specific to men
- Being on the lookout for general health issues that men may not seek help for.
- The ability to put you at ease.
- Helping you to understand the problem – sometimes in a different way than you had anticipated.
In 2012, he opened a men’s health clinic in Manly West, and relocated his practice to Cleveland, Brisbane Bayside, in October 2018.
HEALTH ISSUES SPECIFIC TO MEN
What type of problems does Dr Beatty commonly see at The Men’s Health clinic?
- Erectile Dysfunction (ED) for which there are various treatment options including tablets & lozenges. A urethral gel or injection are the next step up.
- Premature ejaculation (PED) for which there are a variety of good treatment options.
- Delayed ejaculation
There is an important clinical role for testosterone replacement therapy (TRT) in accordance to national and international clinical guidelines. Unlike the so-called ‘testosterone clinics’ of the past, treatment should be monitored with a view to continuing TRT only after there is a demonstrable improvement of symptoms. Dr Beatty does regularly see guys for second opinions regarding the need to start or stop TRT.
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 usually be diagnosed clinically without a scan)
There are a number of normal variations of men’s genitalia. 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.
PPP’s (Penile Pearly Papules) are what doctors call a ‘normal variation.’ Men often don’t see it this way. Small numbers of PPPs may be treated on demand by Dr Beatty or require a referral to a dermatologist.
Dermatological conditions of the male genitalia include Psoriasis, Dermatitis, Scabies, Balanitis (foreskin infection), molluscum, genital warts. Lichen Sclerosus and Lichen planus are important conditions to diagnose and treat. Around three quarters of these issues may be managed in-house whilst around a quarter require a referral to a sub-specialist.
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 distinguishes 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. The two questions that need answer are:
- Is there an underlying medical problem,
- Is it a cosmetic issue?
STD testing. Chlamydia in Australia is now more common in males than females.
Prostate Cancer Testing is a very common issue at the men’s health clinic. Guys who read around PSA blood testing are often surprised by the controversies. Thankfully, a raised PSA is usually caused by Benign enlargement of the prostate rather than prostate cancer.