What to Expect from Your Male Hormone Optimisation Pathway

Treatment is only considered when both clinical features and biochemistry support a diagnosis of hypogonadism. There is no automatic prescribing.

Step 1: Book Online

Schedule your video appointment via our secure portal.

Step 2: Brief Intake (Video) | 5–10 minutes

Your doctor will:

• Screen for red flags and reversible causes (sleep apnoea, obesity, medications, alcohol, opioids/anabolics, pituitary disease)

• Arrange diagnostic testing before any comprehensive review

Step 3: Diagnostic Work-Up (Pathology ± Imaging)

Typically includes, where clinically appropriate:

• Two early-morning (before 9 am), fasting total testosterone levels on separate days (2–4 weeks apart)

• SHBG (to calculate free T if TT is borderline/discordant)

• LH, FSH, prolactin, ± TSH

• FBC/haematocrit, LFTs, lipids, HbA1c/fasting glucose

• PSA (and prostate assessment based on age/risk)

• Ferritin/iron studies, vitamin D, others as indicated

• Pituitary imaging only if clinically warranted (e.g., very low T with low/normal LH/FSH, hyperprolactinaemia, visual symptoms)

If results and clinical context indicate that treatment is not appropriate, your consultation fee is refunded minus an $80+gst administration charge.

Step 4: Comprehensive Telehealth Consultation | 20–30 minutes

• Full symptom review and interpretation of results

• Confirmation (or exclusion) of biochemical hypogonadism

• Discussion of benefits, risks, alternatives, fertility implications, and formulation options.

Step 5: Shared Decision-Making & Treatment Planning

If clinically appropriate, we will:

• Select a formulation and dosing strategy tailored to your goals, comorbidities, and logistics

• Address contraindications/precautions (e.g., uncontrolled polycythaemia, high-risk prostate disease, severe untreated OSA, unstable cardiovascular disease, desire for near-term fertility)

• Plan monitoring and dose-titration intervals

• Provide written informed consent documentation

Step 6: Ongoing Monitoring & Follow-Up

A typical schedule (individualised to you):

• 6–8 weeks after initiation or dose change: symptoms, adverse effects, TT/free T at appropriate trough/steady state, FBC/haematocrit, BP, ± PSA

• 12 weekly Repeat Prescription Check-in: reassess clinical response; adjust dose if needed

• 6 monthly Standard Reviews: symptoms, TT/free T, FBC/haematocrit, LFTs, lipids, BP, PSA per guidelines/age, sleep apnoea screening if indicated

• Additional monitoring for high-risk or symptomatic patients

Compliance & Clinical Standards

• No automatic or routine prescribing; decisions require real-time consultation and documented clinical justification

• Two morning T tests (and SHBG-adjusted assessment where needed) are standard for diagnosis

• We follow AHPRA and TGA requirements; written informed consent is obtained for off-label/compounded use

Sexual Health Concerns We Assess and Manage

• Erectile dysfunction (difficulty achieving or maintaining erections)

• Premature ejaculation (shortened ejaculatory latency causing distress)

What to Expect from Your Telehealth Appointment

Step 1: Book Online - Schedule your confidential consultation through our secure booking portal.

Step 2: Assessment (10–20 minutes via video call)

During your consultation, your doctor will:

• Take a detailed history of your symptoms, onset, and contributing factors (medical, psychological, lifestyle)

• Review your current health, medications, and risk factors (e.g. cardiovascular disease, diabetes, hormones)

• Arrange relevant investigations if clinically indicated (e.g. fasting glucose, lipids, testosterone, thyroid function)

• Develop an individualised treatment plan, with discussion of options, potential benefits and risks, and consent before prescribing or referral

Follow-up schedule:

• Online prescription reviews every 12 weeks

• Annual comprehensive review required for continuation of therapy

• Male pattern hair loss (androgenic alopecia)

• Female pattern hair loss (androgenic alopecia)

• Alopecia areata (patchy autoimmune hair loss)

• Telogen effluvium (diffuse shedding often triggered by stress, illness, or hormones)

What to Expect from Your Hair Loss Telehealth Appointment

Step 1: Book Online - Use our secure booking system to schedule your consultation at a time that suits you.

Step 2: Hair Loss Assessment (10–20 minutes via video call)

During your consultation, your doctor will:

• Take a detailed history of your hair loss (onset, pattern, family history, lifestyle factors)

• Review your general health and medications

• Arrange blood tests if clinically indicated (iron, thyroid, hormones, vitamin D)

• Provide an evidence-based treatment plan tailored to your type of hair loss, including discussion of medication options, potential benefits and risks, and consent before prescribing

Step 3: Ongoing Care and Monitoring- Hair loss treatment is long-term and requires regular review. Our follow-up process ensures:

• Monitoring for safety and effectiveness of prescribed medications

• Adjustments to treatment if your response changes over time

• Continued support with lifestyle and adjunctive strategies

Follow-up schedule:

• Online prescription check-ins every 12 weeks

• Annual telehealth review required for continuation of treatment

Skin Conditions We Assess and Manage

• Acne vulgaris (comedonal, inflammatory, nodulocystic)

• Rosacea (erythematotelangiectatic, papulopustular, phymatous, ocular)

• Seborrhoeic dermatitis (scalp, face, ears, chest)

• Keratosis pilaris (arms, thighs, cheeks)

• Photo-ageing (texture change, dyspigmentation, fine lines)

What to Expect from Your Telehealth Skin Appointment

Step 1: Book Online - Use our secure portal to choose a time that suits you.

Step 2: Skin Assessment (10–20 minutes via video call)

Your doctor will:

• Take a targeted dermatologic history (onset, triggers, distribution, severity, prior treatments)

• Review medical history and medications (incl. hormonal factors, isotretinoin suitability where relevant)

• Request photos if needed to document baseline

• Develop an evidence-based treatment plan for your condition, discuss options, risks, and obtain consent before prescribing

Step 3: Ongoing Care & Monitoring- Skin conditions often need weeks to months of consistent therapy. We’ll:

• Monitor safety and response

• Adjust treatment based on progress and tolerance

• Support trigger management, skin-care routines, and adherence

Follow-up schedule (default):

• Online prescription check-ins every 12 weeks

• Annual telehealth review for ongoing treatment

What we treat: epidermal, dermal, and mixed-type melasma (face predominately; photo-/hormone-associated pigmentation).

Consultation Structure (included in one total fee)

Part 1: Inital Assessment + Treatment Plan (20 minutes, telehealth)

• Focused history (onset, pregnancy/OCP/HRT exposure, sun/heat exposure, skin type, prior treatments, irritant triggers, photosensitive meds).

• Review current skincare and sunscreen use.

• Arrange baseline photos (patient-supplied)

• Set treatment goals and timelines (realistic: improvement, not “cure”; relapse is common).

• Build a stepwise plan: initiation → consolidation → maintenance.

• Consent, written instructions, and scripts where appropriate.

Part 2: Tolerability Review (10-20 minutes, telehealth)

• Review history/photos

• Review tolerability to current treatment regime

Core Management (customised per patient)

1) Non-negotiables (start Day 1)

• Photoprotection daily: Broad-spectrum SPF50+ tinted sunscreen (iron oxides for visible light), 2-finger rule, reapply 2–3×/day outdoors.

• Heat/visible light minimisation: hats, shade, avoid peak UV; consider mineral/tinted formulations.

• Gentle skincare: non-foaming cleanser; barrier-supporting moisturiser; stop harsh scrubs/peels at home.

2) Prescription Treatment - Compounded topical preparations based on skin type/sensitivity ± Oral medication

Pregnancy/breastfeeding: current melasma treatments are contraindicated in pregnancy and breast feeding

3) Systemic / Adjuncts (case-by-case)

• For refractory disease after risk assessment (thromboembolism risks, migraine with aura, oestrogen use, smoking, clotting history).

Monitoring & Follow-Up

• Week 4-6: response/tolerability check; adjust actives (step up/down).

• Every 12 weeks: online prescription/supply review and photo-comparison.

• 6–12 months: maintenance planning; taper potent agents; long-term sunscreen + gentle actives.

What You’ll Receive

• Written plan (what to use, when, how much), sunscreen guide.

• Clear escalation/de-escalation rules and maintenance schedule.

What to Expect from Your Telehealth Appointment

Step 1: Book Online - -Choose a time via our secure portal.

Step 2: PED Risk Assessment (10–20 minutes via video call)

Your doctor will:

• Take a detailed PED history (compounds/classes, timing, route, ancillaries, adverse effects)

• Review medical/psychiatric history, meds, sleep, alcohol/recreational drugs

• Check vitals where available (BP, HR, weight) and screen red flags

• Arrange baseline investigations where clinically indicated (see below)

• Discuss options for harm minimisation, guided taper/cessation, and management of complications

• Obtain informed consent before any prescriptions, referrals, or monitoring plan

Step 3: Ongoing Care & Monitoring

We’ll provide a structured follow-up plan to:

• Track safety markers and organ health

• Adjust the plan based on results and symptoms

• Support cessation or risk-reduction goals (including mental health and fertility objectives)

Default follow-up schedule:

• Generally recommend 12 weekly review depending on risk factors (some treatment protocols may require more frequent Review)

• Annual comprehensive review (earlier if abnormalities are detected)

Treatment / Support Options Considered

• Harm Minimisation (while working toward cessation)

  • Education on real-world risks

• Guided Cessation / Recovery

  • Planned taper or stop with symptom monitoring (mood, libido, energy)

  • HPT-axis recovery strategies where clinically appropriate

  • Fertility-directed care (semen analysis tracking, endocrinology/urology referral)

• Management of PED-Related Complications

  • Erythrocytosis

  • Dyslipidaemia/Hypertension

  • Hepatic issues

• Gynecomastia

• Acne/derm changes

• Sleep apnoea

Referrals (as needed) i.e.

• Cardiology (symptoms, ECG/echo abnormalities, high CV risk)

• Endocrinology/Urology (HPT axis, fertility, complex cases)

• Dermatology (severe acne/scarring, alopecia)

Compliance & Scope

• This service provides medical risk assessment, monitoring, and support for cessation/risk reduction in the context of PED exposure.

• We do not advertise efficacy claims for non-approved substances and do not facilitate procurement.

• Management aligns with Australian primary-care standards; prescriptions (if any) are for approved, clinically indicated treatments (e.g., managing complications, supporting recovery), with informed consent.

Frequency: As outlined in your individual treatment plan.

This consultation is for ongoing patients and is designed to comprehensively review your treatment plan, monitor progress, and make any necessary adjustments to ensure continued safety and effectiveness.

Note:

1. A Telehealth review appointment is a mandatory part of your care every 6-12 months (depending on condition being managed) to meet clinical and regulatory standards.

2. Please refer to your Treatment Plan to the frequency of these reviews.

To review and re-prescribe medications under established treating plan.

Heading on a cruise, flight, or long trip and worried about motion sickness? Our telehealth travel sickness consult helps you feel confident and prepared before you go.

What’s involved:

1. Complete a quick online form with your travel plans, symptoms, and medical history.

2. Telehealth doctor review: An Australian-registered doctor assesses your risk factors and suitability for treatment.

3. Personalised management plan: Includes advice on lifestyle strategies, over-the-counter options, and, where appropriate, a prescription for travel sickness medication.

4. eScript sent directly to your mobile if medication is recommended.

Important: All treatment is provided in line with Australian clinical guidelines. Some medications may not be suitable depending on your health history.

Planning an overseas trip? Protect your health while you travel. Our Travel Health Consult provides tailored medical advice for your destination

Travel Health Consultation (Standard): $120+gst

What’s included in standard consultation:

1. Online pre-travel form – share your itinerary, medical history, and concerns.

2. Telehealth doctor consult – review of health risks, travel vaccinations, food and water safety, and managing travellers’ diarrhoea and general infections.

3. Medication support – advice and, where appropriate, prescriptions for nausea relief, antibiotics for travellers’ diarrhoea, and other essential items.

4. Personalised plan – practical tips for staying safe and healthy during your trip.

Travel Health Consultation (With Malaria Prophylaxis): $145+gst

Travelling to a malaria-risk area? Our comprehensive Travel Health Consult ensures you’re protected.

What’s included:

1. Online pre-travel form – provide details of your trip and medical background.

2. Telehealth doctor consult – review of malaria risk, travel vaccinations, and destination-specific health advice.

3. Malaria prophylaxis – selection of the most suitable medication (e.g. atovaquone/proguanil, doxycycline, mefloquine) based on your health, itinerary, and tolerability.

4. Additional support – prescriptions for common travel health needs such as nausea medication, antibiotics for travellers’ diarrhoea, and advice on insect bite prevention.

5. Personalised safety plan – covering malaria prevention strategies, food and water safety, and medical kit essentials.

Need time off work, school, or university for health reasons? Our online medical certificate request service makes the process fast and straightforward.

How it works:

1. Complete a short online form outlining your symptoms and reason for absence.

2. Doctor review: Your request is assessed by an Australian-registered doctor.

3. Certificate issued (if appropriate): A valid medical certificate is sent to you securely for work, study, or university.

Important: Certificates can only be provided where clinically appropriate, and may cover a maximum of 3 days without further consultation.