Useful Management Information

  • Low testosterone levels can be associated with obesity, sleep apnoea, pain killers, alcohol and depression
  • PBS subsidised testosterone treatment must be prescribed initially by an endocrinologist and patients must have two morning testosterone levels < 6 with established pituitary or gonadal disease

Minimum Referral Criteria

Does your patient meet the minimum referral criteria?
Category 1 (appointment within 30 calendar days)
  • Arrested puberty (16 years and over)
  • Suspected hypopituitarism
Category 2 (appointment within 90 calendar days)
  • Delayed puberty (16 years and over)
  • Male infertility
  • Confirmed hypogonadism with two morning testosterone levels under 6
  • Azoospermia
Category 3 (appointment within 365 calendar days)
  • Symptoms of androgen deficiency with testosterone levels over 6
  • If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires specialist review, a clinical override may be requested:
    • Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
  • Please note that your referral may not be accepted or may be redirected to another service

Essential Referral Information

  • History
    • age and health
    • reproductive history
    • testicular condition
  • Height, weight, BMI
  • Morning (0700-0900 hours) sample for LH, FSH, total testosterone, SHBG and prolactin results
  • Morning (0800 -0900 hours) Cortisol
  • ACTH results
  • TSH, T4 results
  • IGF1 and growth hormone results
  • If infertility - seminal analysis (≥4 days of abstinence)
    • repeat in 4-6 weeks if abnormal

If a specific test result cannot be obtained due to access, financial, religious, cultural or consent reasons a clinical override may be requested. This reason must be clearly articulated in the body of the referral.

Additional Referral Information

  • Pituitary investigations if LH, FSH not elevated
  • Bone mineral densitometry
  • History of marijuana use (including partner) or other relevant medications that contribute to infertility e.g. illicit drugs, steroids, chemotherapy – make reference (if appropriate)
Last updated 16 July 2021

Send Referrals To

Smart Referrals

Preferred Method
About Smart Referrals

Secure Web Transfer

Send to: Gold Coast Health Service District

Internal Referrals

Diabetes/Endocrinology (E-Blueslips)

Fax

(07) 5687 4497

Post

Booking and Referral Centre
Gold Coast University Hospital
1 Hospital Boulevard
Southport QLD 4215

Enquiries

1300 559 083

Related HealthPathways

No directly related pathways found

Service Availability

Dr Katherine Griffin
Medical Director Diabetes and Endocrinology

Facilities

Gold Coast University Hospital
Robina Hospital

If you would like to send a named referral, please address it to the specialist listed above, who will allocate a suitably qualified specialist to see the patient. Alternatively, you can view a full list of our specialists.

Gold Coast Health - For Clinicians
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