What does an online men's sexual health clinic cover in Australia? A comprehensive online men's sexual health service covers erectile dysfunction (ED), premature ejaculation (PE), low libido and possible androgen deficiency, fertility concerns including initial sperm-test ordering and post-vasectomy semen analysis, urethral and urinary symptoms in men, MSM-specific care including PrEP and DoxyPEP, urethritis (gonorrhoea, chlamydia, Mgen) workup and treatment, post-exposure follow-up, and the intersection between men's mental health and sexual function. Clinic365 covers all of the above through a single $59 Specialist GP consult, aligned with RACGP, USANZ (Urological Society of Australia and New Zealand), ASHM (HIV prevention), and Andrology Australia clinical guidance.
Erectile dysfunction (ED). ED is common, treatable, and often a useful early signal of cardiovascular risk in men over 40. RACGP and USANZ recommend cardiovascular risk assessment for any man presenting with ED — new ED can predate ischaemic heart disease by 3–5 years. Our consult covers a full history (onset, sleep-related erections, partner-related vs context-independent, libido, mood, sleep apnoea, medications including SSRIs and beta-blockers), targeted bloods if indicated (testosterone, LH, FSH, prolactin, fasting lipids, HbA1c), and treatment with PDE5 inhibitors (the first-line oral therapy for ED in Australia). Side-effect counselling, contraindications (notably nitrate use), and dose titration are part of standard care. We also cover lifestyle interventions which are evidence-based (smoking cessation, weight loss, sleep apnoea treatment, cardiovascular exercise).
Premature ejaculation (PE). PE is the most common male sexual dysfunction worldwide and underdiagnosed in Australia because most men don't raise it with their regular GP. Diagnosis is based on intravaginal ejaculatory latency time (IELT), perceived control, and distress — we use the validated PEDT (Premature Ejaculation Diagnostic Tool). Treatment options include oral therapy (specific PE-licensed medications, available in Australia by script), topical desensitising agents, and behavioural strategies (start-stop, squeeze technique, pelvic floor training). Our consult covers all three modalities; many men do well on a combined approach. Lifelong vs acquired PE distinction guides treatment.
Low libido and the testosterone question. Low libido in men can reflect relationship factors, depression, sleep apnoea, hypogonadism, prolactinoma, medication effects (SSRIs, finasteride, opioids), or simply normal age-related decline. Australian guidance (Endocrine Society of Australia, RACGP) is conservative on testosterone replacement: it should not be prescribed for age-related testosterone decline alone, and confirmed androgen deficiency (low morning total testosterone on two separate occasions, plus elevated LH/FSH if primary, or low/normal LH/FSH if secondary) is needed before starting therapy. Medicare requires a confirmed pathological cause for PBS-funded testosterone. We will not prescribe testosterone for cosmetic, performance, or generic anti-ageing reasons. Where appropriate (confirmed primary hypogonadism), we coordinate with an endocrinologist.
Sperm testing in Australia. Initial sperm tests (semen analysis for fertility evaluation) are widely available across Australia through major pathology and fertility networks (ACL, Monash IVF, IVF Australia, Genea, City Fertility, Repromed, Fertility Solutions, Concept Fertility, the Hunter IVF network). Post-vasectomy semen analysis (typically 3 months post-procedure, then again at 4 months) is also widely available. Our consult orders the test, walks through preparation (3–5 day abstinence, no excessive heat, no alcohol the night before, sample produced at collection centre or transported within 60 minutes), and discusses results once back. WHO-2021 thresholds (concentration, motility, morphology, total motile sperm count) guide interpretation. If results suggest male factor infertility, we refer to a fertility clinic or urologist as appropriate.
MSM-focused care: PrEP and DoxyPEP. Australian MSM patients are well-served by ASHM's PrEP guidelines: daily oral tenofovir/emtricitabine for HIV prevention, with on-demand "2-1-1" dosing also supported for episodic exposure. Our PrEP consult includes baseline HIV/syphilis/hepatitis B/hepatitis C/renal function/STI screen, then quarterly monitoring (HIV/STI/renal). DoxyPEP (post-exposure tetracycline-class antibiotic prophylaxis for bacterial STIs) is supported by ASHM guidance for MSM at high risk — particularly those with recurrent gonorrhoea, syphilis, or chlamydia. Australian DoxyPEP uptake has accelerated rapidly since the 2024 ASHM guidance, and we discuss the trade-offs (effectiveness for syphilis/chlamydia, less so for gonorrhoea given resistance) in the consult.
Urethritis and urethral symptoms. Dysuria, urethral discharge, or post-coital irritation in men is commonly chlamydia, gonorrhoea, or Mgen, but also non-infectious (urethral injury, chemical irritation) or anatomical (urethral stricture). The Australian STI Management Guidelines recommend dual NAAT testing for chlamydia/gonorrhoea/Mgen, with Mgen importantly added because empirical first-line treatment for chlamydia can drive Mgen macrolide resistance. The AGSP (Australian Gonococcal Surveillance Programme) tracks gonorrhoea resistance trends nationally and influences treatment choice. We follow these guidelines in every urethritis consult and arrange test of cure where indicated.
Post-vasectomy and post-circumcision care. Post-vasectomy semen analysis is needed to confirm sterility before contraception can be ceased — usually 3 months and again at 4 months post-procedure. We order the test, interpret results (azoospermia confirms sterility; rare non-motile sperm at low count is also acceptable per Australian guidance), and provide contraception advice for partners during the interim. Post-circumcision concerns (healing, sensitivity, sexual function) are also addressed.
Men's mental health and sexual function. Depression, anxiety, body-image concerns, and relationship distress all interact with sexual function. SSRIs (commonly prescribed in Australia for depression and anxiety) commonly cause delayed ejaculation, anorgasmia, or reduced libido as a side effect — an important recognition that's often missed. Our consult addresses the bidirectional relationship: sexual dysfunction can both result from and contribute to mood disorders. Where appropriate we discuss medication switching (e.g. switching from SSRI to bupropion or mirtazapine), dose adjustment, or referral to a psychologist (Beyond Blue, Black Dog Institute, and Headspace all provide Australian mental health resources for men).
Free walk-in alternatives at state public sexual health clinics. Every state in Australia has a free, government-funded sexual health service for walk-in care without Medicare: Sydney Sexual Health Clinic, Melbourne Sexual Health Centre (580 Swanston St Carlton), Brisbane Sexual Health, Cairns Sexual Health, Adelaide Sexual Health, RPH Sexual Health (Perth), Canberra Sexual Health, Hobart Sexual Health, Clinic 34 (Darwin). For MSM specifically, Sydney's a[TEST] testing service and Melbourne's PRONTO! service provide free peer-led HIV/STI testing. Aboriginal and Torres Strait Islander men can access ACCHS (Aboriginal Community Controlled Health Services) for culturally-safe care. We tell you about these options in every consult.
When in-person care is needed. Some presentations need physical examination: scrotal pain or swelling (epididymo-orchitis, testicular torsion, hydrocele), severe acute prostatitis, suspected penile fracture, complex anatomical issues (Peyronie's disease examination), unexplained haematospermia, suspected disseminated gonococcal infection. These get referred to a urologist (USANZ Find a Specialist), to your nearest emergency department for time-critical issues (testicular torsion is a 6-hour window), or to your nearest in-person sexual health clinic. We are explicit about what telehealth can and can't do safely.
Cost. $59 Specialist GP consultation. Pathology bulk-billed with Medicare or direct-billed for OSHC and most major insurers. PBS-priced eScripts. Free state sexual health clinics are listed above. No subscription, no membership, no hidden costs.
