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Hypogonadism & infertility – male

Copied from the official Gold Coast Health condition page (27 Aug 2026). Hospital triage assigns the official category. Live source: Refer Your Patient — Hypogonadism & infertility – male.

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Cat 1 · 30 days

appointment within 30 calendar days. - Arrested puberty (16 years and over) - Suspected hypopituitarism

Cat 2 · 90 days

appointment within 90 calendar days. - Delayed puberty (16 years and over) - Male infertility - Confirmed hypogonadism with two morning testosterone levels under 6 nmol/L - Azoospermia or severe oligospermia

Cat 3 · 365 days

appointment within 365 calendar days. - Symptoms of androgen deficiency with testosterone levels over 6nmol/L, in the absence of any anabolic steroid use in the last 3 months Please note: PBS subsidised testosterone treatment must be prescribed initially by an endocrinologist and patients must have two morning testosterone levels < 6 nmol/L or established pituitary or gonadal disease

Essential referral information

Referral will be returned without this. If a mandatory test cannot be obtained, say so in the referral.

- History - age and health - reproductive history - testicular condition - history of exogenous androgens / anabolic steriods - Height, weight, BMI - Morning (0700-0900 hours) sample for LH, FSH, total testosterone, SHBG and calculated free testosterone - Prolactin - 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.

Out of scope / wrong door

The following conditions are out of scope for this service: - Pre-diabetes - Stable, well-controlled type 2 diabetes - Newly diagnosed type 2 diabetes and not acutely unwell - Referrals where the primary problem requiring attention is not directly related to the diabetes and should be directed to another speciality service e.g. chest pain for investigation should go to cardiology - Dietary advice for weight reduction, high cholesterol, hypertension or CVD in patients with diabetes - Newly diagnosed primary hypothyroidism, including subclinical hypothyroidism – Note: in women of child bearing age who are pregnant or wishing to become pregnant or not using contraception, thyroxine should be commenced and titrated, aiming for a TSH less than 2.5 - Positive thyroid antibodies with normal thyroid function - Osteopaenia - Routine uncomplicated osteoporosis

Parent service: Diabetes and Endocrinology

Send outpatient referrals to

  • Smart Referrals preferred (Best Practice or Medical Director)
  • Medical Objects GQ42150009Z (lookup qh → QHEALTH, GOLD COAST HEALTH OUTPATIENT)
  • HealthLink EDI Qldgchsd
  • Fax (07) 5687 4497 — Booking and Referral Centre
  • Post: Booking and Referral Centre, Gold Coast University Hospital, 1 Hospital Boulevard, Southport QLD 4215
  • Clinic enquiries 1300 559 083

How to refer — full order

HealthPathways

Sign in for localised assessment and management. HealthPathways does not send the referral. Register: gchealthpathways@health.qld.gov.au

goldcoast.communityhealthpathways.org

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