Men's Health Care in Southlake, TX
Physicals, heart risk, prostate screening, testosterone and sexual health, handled in one place.
We see patients age 16 and older.
Men put this off, and the reasons are predictable: nothing hurts, appointments are inconvenient, and nobody wants to discuss it. Magnolia handles physicals, cardiovascular risk, prostate screening, low testosterone and sexual health in one place, with a provider who will not make you book three separate visits to get answers.
Start with a baseline
If you have not been seen in years, start here. A full annual physical gets you blood pressure, cholesterol, blood sugar, kidney and liver function, a CBC, and a look at whatever has been nagging.
Most men who come in after a long gap have at least one number that needs attention. Almost none of them had symptoms, which is exactly the point.
Heart and metabolic risk
Cardiovascular disease is still the thing most likely to kill you and it builds silently from your thirties onward.
We calculate your 10-year risk from your actual numbers, not a general impression, and we treat blood pressure and cholesterol early rather than waiting for an event to make the decision. Lipoprotein(a) is worth checking once in your life, particularly with a family history of early heart attacks, because it is genetic, common and invisible on a standard panel.
Where the risk estimate lands in the borderline zone, a coronary calcium score often settles it. Details on our heart disease prevention page.
Low testosterone
Fatigue, low libido, poor recovery, weight gain, irritability and mood changes all get blamed on testosterone. Sometimes that is right. Often it is not.
We draw morning testosterone on two separate days, add LH, FSH and prolactin when the numbers are low, and look hard at sleep apnea, weight, alcohol and thyroid function before starting anything. Obesity lowers testosterone directly, and for many men losing weight raises it more than a prescription would.
If replacement is appropriate we monitor hematocrit, PSA and symptoms on a set schedule. We also discuss fertility honestly up front, because testosterone therapy suppresses sperm production and men are frequently not told this before starting.
If it is not appropriate, we say so and treat what is actually causing your symptoms.
Prostate
PSA screening is a decision, not a default.
We go through what an elevated PSA does and does not mean, what a biopsy involves, and the fact that many prostate cancers found by screening would never have caused harm. Then you decide. Both choices are defensible and we do not push. More detail is on our preventive screening page.
Sexual health
Erectile dysfunction, low libido and premature ejaculation are all treatable and all badly under-reported.
ED in particular deserves a workup rather than just a prescription, because the arteries in the penis are smaller than the coronary arteries and narrow earlier. A man presenting with new ED at 52 is often a man with undiagnosed vascular disease, and treating only the symptom misses the point entirely.
We also handle sexually transmitted infection screening without any fuss about it.
Sleep, alcohol and mood
Three things that men are rarely asked about and that drive an enormous amount of what shows up as fatigue, weight gain and low testosterone.
We screen for sleep apnea, which is common, treatable, and makes blood pressure and blood sugar harder to control. We ask about alcohol in real numbers rather than “socially.” We screen for depression, which in men more often presents as irritability and withdrawal than as sadness.
Carrying extra weight makes nearly all of this worse at once. Our medical weight management program addresses testosterone, blood pressure and sleep apnea at the same time.
New patients can start with our primary care Southlake practice overview.
Questions about your own case?
These pages describe how we treat this generally. What matters is your history, your labs and your medications, and that takes a visit. We are taking new patients now and most major insurance is accepted.
Questions patients ask
Do you test for low testosterone?
Yes. It needs a morning draw, ideally on two separate mornings, because levels swing through the day and a single afternoon result is close to meaningless. We also check the things that cause low testosterone, since obesity, sleep apnea, alcohol and thyroid disease are behind a great deal of it.
Will you prescribe testosterone replacement?
When it is genuinely indicated and the workup supports it, yes. We go through fertility effects, blood count monitoring and cardiovascular considerations first. If your numbers are normal we will not treat you anyway, and we will tell you what is actually causing your symptoms.
When should prostate screening start?
Discuss it at 50, or at 45 with a father or brother who had prostate cancer or if you are of African ancestry. It is a shared decision, not an automatic test, and we give you the real tradeoffs including overdiagnosis.
Can you help with erectile dysfunction?
Yes, and it is worth bringing up. ED is frequently the first visible sign of vascular disease, so the workup is also a cardiovascular workup. Treatment is straightforward for most men.
I have not seen a doctor in years. Where do I start?
A full physical with labs. Most men who come in after a long gap have at least one number that needs attention and almost none of them had symptoms.
Related care at Magnolia
2111 Kirkwood Blvd, Ste 110C, Southlake. Free parking directly in front.