Men’s Health Services in Spanish Fork

What Does Men’s Health Care Include at Dr. Oldham’s Office?

Men’s health at Dr. Oldham’s Spanish Fork office covers the full scope of primary care issues that affect men across the lifespan: cardiovascular risk screening (blood pressure, cholesterol, diabetes), prostate health, testosterone evaluation, mental health (depression, anxiety, stress), sexual health, musculoskeletal injuries from work and sport, weight management, and age-appropriate cancer screenings. The CDC reports that men are 40% less likely than women to visit a doctor in the past year, which means conditions like hypertension, prediabetes, and depression go undiagnosed until they cause measurable damage. Dr. Oldham structures men’s health visits to cover multiple concerns in a single appointment, because men who schedule one visit per year need that visit to be thorough enough to catch everything.

Dr. Oldham sees men from adolescence through older adulthood at the same office that handles their family’s pediatric care, their partner’s women’s health needs, and their own chronic conditions. That whole-family model means Dr. Oldham already knows the household context when a man walks in for his own appointment.

What Screenings Does Dr. Oldham Recommend for Men?

Dr. Oldham follows USPSTF and ACS screening guidelines, adjusted for each patient’s age and risk. Blood pressure is checked at every visit. Lipid screening starts at age 20 for men with risk factors and at age 35 for average-risk men, per USPSTF recommendations. Diabetes screening (A1c or fasting glucose) starts at age 35 for overweight men. Colorectal cancer screening begins at age 45 (colonoscopy every 10 years or annual FIT test). Lung cancer screening with low-dose CT is recommended for men aged 50 to 80 with a 20+ pack-year smoking history. Abdominal aortic aneurysm (AAA) screening is a one-time ultrasound for men aged 65 to 75 who have ever smoked. Prostate cancer screening (PSA test) is a shared decision conversation that Dr. Oldham initiates at age 50 for average-risk men and age 40 for men with a family history or African American heritage.

Dr. Oldham tracks screening status in the chart and flags overdue items at every visit, so men who come in for a sore throat still get reminded that their colonoscopy is two years overdue.

How Does Dr. Oldham Evaluate Low Testosterone?

Low testosterone (hypogonadism) evaluation begins when men present with fatigue, decreased libido, erectile dysfunction, mood changes, reduced muscle mass, or increased body fat. The evaluation starts with a morning total testosterone level (drawn before 10 a.m., when testosterone peaks), followed by a repeat confirmatory draw if the first result is low (below 300 ng/dL per AUA guidelines). If both levels are low, Dr. Oldham orders LH, FSH, prolactin, and a CBC to distinguish primary hypogonadism (testicular) from secondary (pituitary) and to check baseline hematocrit before considering testosterone replacement therapy (TRT). Dr. Oldham also screens for reversible causes of low testosterone: obesity, obstructive sleep apnea, opioid use, and poorly controlled diabetes, because addressing these often raises testosterone without medication.

Dr. Oldham prescribes TRT (topical gel or intramuscular injection) when lab-confirmed hypogonadism produces symptoms that impair quality of life and reversible causes have been addressed. Monitoring on TRT includes testosterone level, hematocrit (testosterone raises red blood cell production), PSA (prostate safety screening), and symptom reassessment at 3 months and then every 6 to 12 months. Dr. Oldham counsels men that TRT suppresses sperm production, so men planning future fertility require a different treatment approach (clomiphene citrate or hCG).

Does Dr. Oldham Treat Mental Health Concerns in Men?

Dr. Oldham screens for depression and anxiety at every men’s health visit using the PHQ-9 and GAD-7, because men are significantly less likely to seek mental health care on their own. The CDC reports that men account for nearly 80% of suicides in the United States, yet they use mental health services at half the rate of women. Dr. Oldham normalizes the conversation by building it into the standard visit structure instead of waiting for the patient to bring it up. Treatment follows the same evidence-based approach used across the practice: SSRIs or SNRIs for moderate to severe depression, behavioral strategies and therapy referral for mild cases, and structured follow-up with serial PHQ-9 tracking. Dr. Oldham also screens for substance use (alcohol, tobacco, opioids) using validated screening tools, because substance use disorders co-occur with depression at higher rates in men.

In practice, Spanish Fork men who come in for a physical and end up discussing depression for the first time often say they wouldn’t have brought it up at a dedicated mental health appointment. Embedding the screening inside a routine medical visit removes the barrier to entry.

How Does Dr. Oldham Manage Prostate Health?

Dr. Oldham manages prostate health through preventive screening, symptom evaluation, and treatment of benign prostatic hyperplasia (BPH). PSA (prostate-specific antigen) screening is offered as a shared decision conversation starting at age 50 for average-risk men and age 40 for high-risk men, per American Urological Association (AUA) guidelines. Dr. Oldham explains the benefits (early detection of prostate cancer) and risks (false positives leading to unnecessary biopsies) so the patient makes an informed choice. For men with BPH symptoms (urinary frequency, urgency, nocturia, weak stream), Dr. Oldham performs a digital rectal exam, checks a PSA, and assesses symptom severity with the AUA Symptom Index. First-line BPH medications (alpha-blockers like tamsulosin, 5-alpha reductase inhibitors like finasteride) are prescribed at the office, and referral to urology happens when medication fails or symptoms suggest a complication.

Tracking PSA trends over time is more informative than a single number. A PSA of 3.0 ng/mL in a man whose previous result was 1.5 raises more concern than a stable 3.0 over three years, and Dr. Oldham uses the velocity of change to guide the referral decision.

What Sports and Work Injuries Does Dr. Oldham Treat in Men?

Dr. Oldham treats acute and chronic musculoskeletal injuries in men at the Spanish Fork office, including sprains, strains, tendinopathy, rotator cuff pain, back pain, knee pain, and fracture evaluation. His four years of general surgery residency and triple board certification in osteopathic manipulative medicine give him both the procedural skills (joint injections, laceration repair, fracture splinting) and the manual therapy tools (OMT for spinal and extremity dysfunction) to evaluate and treat most injuries in the same visit without referral. For injuries that require imaging (X-ray or MRI) or orthopedic surgical consultation, Dr. Oldham orders the workup and refers to trusted specialists in Utah County while continuing to manage the patient’s rehabilitation and return to activity. Joint and back pain and sports injuries are managed as part of the same primary care relationship.

Does Insurance Cover Men’s Health Visits?

Annual wellness visits, preventive screenings (blood pressure, cholesterol, diabetes, colorectal cancer), and immunizations are covered at no cost under the ACA. Diagnostic visits for symptoms (low testosterone evaluation, BPH management, mental health treatment) are covered by the 30+ insurance plans accepted at Dr. Oldham’s Spanish Fork office with standard copay or coinsurance. PSA testing is covered as a shared-decision preventive screening. Generic medications for BPH, hypertension, cholesterol, and depression cost $4 to $15 per month at Utah pharmacies. Testosterone replacement therapy costs vary by formulation and plan coverage; Dr. Oldham’s office handles prior authorizations when required.

How Do I Schedule a Men’s Health Visit With Dr. Oldham?

Frequently Asked Questions About Men’s Health