Heart and blood pressure, prostate and PSA, weight and blood sugar, sleep, mood, and the things blokes tend to leave for another year. One appointment on Brisbane Water Drive, West Gosford.
Open Monday to Friday, 8:30am – 5:00pm. No referral needed to see a GP.
We are a Medicare Bulk Billing Practice. Standard consultations are bulk billed for eligible patients with a valid Medicare card.
We are a Medicare Bulk Billing Practice
Now Accepting New Patients
Walk-ins Welcome
Shop 12, 297–299 Brisbane Water Drive, West Gosford NSW 2250
Open Mon–Fri 8:30am – 5:00pm
Screening & prevention
Australia’s screening programs and routine checks start at different ages and run on different clocks. Move the slider to see what generally applies at your age.
Prostate & PSA
Approved by the National Health and Medical Research Council in May 2026 and published in August, new national guidelines for the early detection of prostate cancer replaced the ones written back in 2016. Australia is one of the first countries in the world to move to this approach, and it changes what happens in the room.
The short version: your GP should now raise PSA testing with you rather than wait for you to ask, the test is offered every two years rather than annually, and if something looks off you get a scan before anyone reaches for a biopsy.
A blood test. PSA is a protein made by the prostate, and the level in your blood can rise when something is going on in there — cancer, but also an enlarged prostate, an infection, or even a long bike ride. That is the whole reason the result needs interpreting rather than just reading.
That is the conversation, and it is a real one. Testing finds some cancers early that would have caused harm. It also finds some that never would have, and following those up carries its own risks. The guidelines are built around you understanding both sides before you decide. Bring your family history with you if you know it.
There is no single number — the action level depends on your age and your risk. For men aged 50 to 69 at average risk it is 3.0; for men at higher risk in that age group it is 2.0. Below your level, testing simply continues every two years. At or above it, the guidelines recommend repeating the test within one to three months, because a single raised reading often settles on its own. It is a prompt to look again, not a diagnosis.
Under the guidelines, a confirmed result at or above your action level leads to a specialist referral, and an MRI of the prostate is recommended before any biopsy. Depending on what the scan shows, a targeted biopsy may be recommended, or it may not be needed at all. That order — scan before biopsy — is the biggest practical change in the 2026 guidelines.
Then this is a different conversation and you should book sooner. Getting up more often at night, a weaker stream, trouble starting, blood in the urine or semen, or new pain in the back, hips or pelvis — ring us rather than waiting for a routine appointment. Most of these turn out to be something benign, and that is worth knowing rather than wondering.
Your consultation here is bulk billed with a valid Medicare card. The blood test is usually billed by the laboratory directly to Medicare — if there is any out-of-pocket cost, reception will tell you before you go ahead.
The basics
None of these take long, most can be done in one visit, and together they cover a lot of what goes wrong in men in midlife. Tap a card for the detail.
The one with no symptoms. High blood pressure quietly does its damage for years before anything feels wrong, which is why it gets picked up at an appointment you came in for something else.
It takes about a minute and it goes in your record, so we can see the trend rather than one reading on one day.
Measured as part of a broader picture rather than on its own. What matters is not a single number but how it combines with your age, blood pressure, smoking history and family history.
That combination is what the Australian cardiovascular risk calculator works out.
Type 2 diabetes can run for years without symptoms. A blood test picks it up, and and it can pick up the stage before it, when there is more that can be done.
Worth checking sooner if it runs in your family, or if your waist has been creeping up.
More useful than the scales, because it tells you where the weight is sitting. For men, a waist over 94cm raises health risk, and over 102cm raises it substantially.
Measured around the belly button, standing up, breathing out. Not the size of your jeans.
Your kidneys can lose a lot of function before you notice anything. A blood test and a urine test together give a much clearer picture than either alone.
Especially relevant if you have blood pressure or diabetes in the mix.
The prostate blood test. Under the 2026 guidelines this one starts with a discussion rather than a request slip — because whether to test is genuinely a decision, not a default.
See the section above for how it now works.
Heart & metabolic health
Coronary heart disease is still the leading cause of death in Australian men, and much of the risk is built from things you can measure in twenty minutes.
Every 12 months
A dedicated twenty-minute appointment, funded by Medicare once every twelve months, for anyone 45 and over who does not already have heart disease — from 30 for Aboriginal and Torres Strait Islander men. It covers your blood pressure, cholesterol and blood sugar, your history and lifestyle, and it produces an actual number: your risk of a heart attack or stroke over the next five years. Bulk billed here where you meet the Medicare criteria.
Australia moved to a new risk calculator in 2023. Rather than looking at one number in isolation, it combines your age, sex, smoking status, blood pressure, cholesterol, whether you have diabetes, any medicines you already take, and your postcode. It sorts the result into three bands.
Under 5% chance over the next five years.
Between 5% and 10%.
10% or more.
The point of the number is not the number. It is that it makes the conversation concrete — and it gives you something to move. Two people with the same cholesterol can sit in different bands, and the same person can shift bands within a year.
Assessment is recommended for everyone aged 45 to 79 without known heart disease, from 35 if you have diabetes, and from 30 for Aboriginal and Torres Strait Islander people. What is right for you depends on your history.
Tick anything you have noticed. Nothing is stored or sent anywhere — it just builds a list you can copy, or read off your phone in the room. It is not a test and it does not diagnose anything. It exists because most blokes get to the door and remember the important one.
Nothing ticked yet.
Cancer screening
Australia runs national screening programs for bowel and lung cancer. Skin is different — there is no program, which puts it on you and us.
A test you do at home, in private, and post to a lab. It looks for tiny amounts of blood you would never see. It is not glamorous, and it works.
From 45 you are eligible, but the first kit is not sent automatically — you have to ask for it, and after that it arrives every two years like everyone else’s. From 50 it turns up without you asking. We can order it, or you can ring 1800 627 701.
Australia’s National Lung Cancer Screening Program started in July 2025. A free low-dose CT scan every two years for people aged 50 to 70 with a smoking history of at least 30 pack-years — a pack a day for 30 years, or two packs a day for 15 — who currently smoke or quit within the last ten years, and who have no symptoms suggesting lung cancer. Your GP can work your pack-years out with you.
You enter the program through a GP. If you have ever been a heavy smoker, this is worth asking about even if you gave up years ago.
Australia has one of the highest rates of skin cancer in the world, and men over 50 are the group most likely to be diagnosed late — usually because the spot was somewhere they could not see.
There is no national screening program. It relies on you noticing, or someone else noticing, and bringing it in. Anything new, changing, or not healing after a few weeks.
The home test is for people with no symptoms. If you have symptoms, the test is not the right route — an appointment is.
Blood in the stool, a lasting change in your habits, ongoing cramping, or unexplained weight loss or tiredness. Ring us and say what it is rather than booking a routine slot.
Mood, sleep & alcohol
They usually come up at the end of an appointment, on the way out the door. Around three in four suicide deaths in Australia are men. Starting the conversation earlier matters.
It rarely presents as sadness. More often it is a shorter fuse, no interest in things you used to enjoy, drinking a bit more, sleeping badly, or just feeling flat for months on end.
A GP can put a Mental Health Treatment Plan in place, which gives you a set number of Medicare-subsidised sessions with a psychologist each year. It is a referral, not a diagnosis, and it is a normal thing to ask for.
If things are bad right now, call Lifeline on 13 11 14, any hour. In an emergency, call 000.
Snoring is a punchline until it is not. If you snore heavily, have been told you stop breathing, wake unrefreshed, or find yourself nodding off in front of the TV or at the wheel, that is worth investigating properly.
Obstructive sleep apnoea is common in men, and it drags blood pressure, blood sugar, concentration and mood along with it. The pathway is an assessment here and, where it fits, a referral for a sleep study.
Falling asleep while driving is an emergency, not an inconvenience.
The current Australian guideline for healthy adults is no more than ten standard drinks a week, and no more than four on any one day. Most men who are surprised by that are surprised because a standard drink is smaller than a poured one.
Nobody here is going to lecture you. It is worth counting though, because alcohol quietly drives blood pressure, sleep, weight, mood and liver results — and for many people cutting back improves them.
Bring it up. It is a health number, like blood pressure.
Below the belt
Then it is just a medical conversation like any other. These are the ones men put off longest, and several of them are early warnings for something bigger.
Worth knowing: erectile difficulty can be an early sign of narrowed arteries or of diabetes, sometimes years before anything shows up in your chest. The blood vessels involved are small and they complain first. So this is not only a bedroom conversation — a proper assessment usually includes blood pressure, cholesterol and blood sugar.
There is a lot of noise online about this one, so plainly: testosterone drifts down slowly with age in most men, and Australian guidance does not support treating that normal age-related dip. Genuine androgen deficiency is a different thing, it is uncommon, and diagnosing it takes more than one blood test — it needs repeat morning samples and a look at the rest of the picture.
PBS subsidy is restricted to established androgen deficiency, confirmed on repeat morning blood tests, and generally requires specialist involvement. It is not subsidised for age-related decline. Testosterone therapy also carries risks, including effects on fertility. If you have been reading about it online, the place to start is a conversation with your GP about whether testing is appropriate for you.
Testicular cancer is the second most common cancer in men aged 20 to 39, and survival is high — around 98% at five years. A new lump, a change in size or firmness, or a persistent ache is worth booking promptly rather than leaving it.
Roughly half of fertility problems involve a male factor, and it is often the last thing looked at. If you have been trying for a while, both partners are worth looking at — your GP will talk through what is worth checking on the male side.
Confidential
Testing for chlamydia, gonorrhoea, syphilis and HIV. For most men it is a urine sample and a blood test — no examination. Your results are confidential and are not shared with your employer, your partner or your family. Some infections are notifiable to NSW Health by law, and if a test is positive your GP will talk you through what that means and how partner notification works.
Prevention
Free on the National Immunisation Program up to and including age 25, as a single dose for most people. It is given at school in Year 7 — if you missed it, you can still catch up here.
No referral needed
You do not need a reason on the form and you do not need to explain it to reception. Say “a general check-up” and raise it in the room.
How we work
Rather than three short ones. If you have a list, say so when you book and we will set aside the time. A standard consult is about fifteen minutes and a list of five things will not fit.
If your GP has already requested bloods, 4Cyte collects on site — so you can have them done beforehand and come back to results that already exist.
We are open 8:30 to 5:00, Monday to Friday. Ask reception for the first or last appointment of the day if work is the reason this keeps getting pushed.
Heart disease, diabetes, bowel cancer, prostate cancer, and roughly what age it happened. It changes when screening starts for you, and most men have never been asked.
Results get their own appointment so there is time to explain what they mean, rather than numbers read out over the phone.
Seeing the same doctor makes it easier to follow things over time. Book with whoever you saw last where you can.
Questions
No. You can book directly with any of our GPs. A referral is only needed if you go on to see a specialist, and we write that for you.
All Medicare-eligible consultations are bulk billed for patients with a valid Medicare card, including the Heart Health Check and health assessments where you meet the criteria. Some items, such as privately purchased vaccines, attract a fee, and reception will tell you the amount before you agree to anything.
That is a decision to make with your GP rather than a routine test. Under Australia's 2026 guidelines your GP should raise it with you from age 50, or from 45 if you are at higher risk because of family history or sub-Saharan African ancestry. If you decide to test, it is offered every two years.
They were approved by the NHMRC in May 2026 and published in August, replacing the 2016 guidelines. The main changes: GPs raise PSA testing proactively rather than waiting to be asked, testing is two-yearly rather than annual, action levels now vary by age and risk, an MRI is recommended before any biopsy, and the finger examination is no longer part of the routine test in general practice. It is still not a population screening program.
It depends on your age and your risk. For men aged 50 to 69 at average risk the action level is 3.0; for men at higher risk in that age group it is 2.0. Below your level, testing continues every two years. At or above it, the guidelines recommend repeating the test within one to three months, because a single raised reading often settles. It is a prompt to investigate, not a diagnosis.
A dedicated twenty-minute Medicare-funded appointment, available once every twelve months, for people 45 and over without existing heart disease, and from 30 for Aboriginal and Torres Strait Islander people. It covers blood pressure, cholesterol and blood sugar, your history and lifestyle, and produces your estimated risk of a heart attack or stroke over the next five years.
Blood pressure, cholesterol, blood sugar and kidney function all cause damage long before they cause symptoms, so feeling fine is not much of a guide. Medicare also funds a once-only health assessment for people aged 45 to 49 who have a risk factor for chronic disease, which includes family history, weight, smoking, blood pressure or cholesterol.
The free home test runs from 45 to 74, every two years. From 50 the kit is posted automatically. From 45 you are eligible but you have to request the first one — after that it arrives every two years on its own. We can order it, or you can call 1800 627 701. If you have symptoms, book an appointment instead of waiting for a kit.
The National Lung Cancer Screening Program started in July 2025 and covers people aged 50 to 70 with a smoking history of at least 30 pack-years who currently smoke or quit within the last ten years, and who have no symptoms suggesting lung cancer. It is a free low-dose CT every two years and you enter through a GP. Worth asking about even if you gave up years ago.
Yes, and it is worth doing properly. Testosterone drifts down slowly with age in most men, and Australian guidance does not support treating that normal age-related dip. Genuine androgen deficiency is uncommon and diagnosing it takes repeat morning blood tests rather than a single result. PBS subsidy has specific criteria and often involves a specialist.
A conversation, then usually blood pressure, cholesterol and blood sugar. Erectile difficulty can be an early sign of narrowed arteries or diabetes, sometimes years ahead of any other symptom, so the assessment looks at the whole picture rather than just the symptom.
The current Australian guideline for healthy adults is no more than ten standard drinks in a week and no more than four on any one day. A standard drink is smaller than most people pour, so it is worth checking what you are actually counting.
Book a longer appointment and say it is about how you have been feeling. A GP can put a Mental Health Treatment Plan in place, which gives you a set number of Medicare-subsidised sessions with a psychologist each year. If things are difficult right now, Lifeline is on 13 11 14, any hour.
Medicare funds a health assessment every year from 75, covering medicines, memory, mobility, falls risk, hearing, vision and mood. It is a longer appointment than a standard consult and it is bulk billed here where you meet the criteria.
This page is general information for people in the Gosford and Central Coast area. It is not advice about your situation and it does not replace a consultation. If you are worried about a symptom, book an appointment or call us on (02) 4311 3800. In an emergency, call 000.
A check-up, a PSA conversation, blood pressure, sleep, mood, or something you would rather not type into a search bar. Book online, or call reception and ask for a longer appointment. All Medicare-eligible consultations are bulk billed for patients with a valid Medicare card.
Open Monday to Friday, 8:30am – 5:00pm · Shop 12, 297–299 Brisbane Water Drive, West Gosford · Serving Gosford, West Gosford, Point Clare, Narara, Wyoming, Springfield, Tascott, Koolewong, East Gosford, Erina, Green Point and Lisarow.