What Does An Andrologist Do?

Andrologist talking with male patient.

What Is An Andrologist?

An andrologist is a doctor who specializes in andrology, the study of medical conditions that specifically affect men – especially those relating to male reproductive issues and urological problems. An andrologist is generally considered to be the male equivalent of a gynecologist (a medical specialist who treats problems involving the female reproductive system).

What Conditions Do Andrologists Treat?

Andrologists focus on a number of male-related issues. Here are some of the most common problems faced by men who are treated by andrologists:

  • Male infertility
  • Erectile dysfunction
  • Contraception
  • Andropause (age-related hormone deficiency)
  • Chronic conditions affecting the reproductive organs
  • Complications associated with STIs (sexually transmitted infections)
  • Problems involving the prostate
  • Hypogonadism
  • Premature Ejaculation (PE)
  • Peyronie’s disease (a bend or curve in the penis)
  • Injury and trauma to the genital area
  • Inflammatory diseases of the genitourinary system
  • Diseases due to age-related circulatory disorders

See Also: What Is A Fertility Specialist?

When Should You See An Andrologist?

An andrologist is able to treat a broad range of chronic and acute disorders in men. If you have any of the symptoms below, make an appointment to see a doctor.

  • Pain or an itching sensation during urination.
  • Pain when having sexual intercourse.
  • Unusual penile secretions.
  • Inability to achieve pregnancy.
  • Erectile dysfunction.
  • Pain in the pelvic area
  • Pain and/or swelling of the scrotum or testicles.
  • Symptoms of andropause (low testosterone, diminished sex drive, lack of motivation, low energy, etc.)

An andrologist should be consulted if you experience any of these symptoms, or have any questions or concerns regarding them.

What Happens During The Consultation?

During your consultation you will be asked questions about your symptoms and, if required, an examination of the genital organs. At your initial visit, a preliminary diagnosis may be made. Symptoms resulting from acute conditions will be given immediate treatment.

The andrologist will recommend various tests and analyses to ensure a precise diagnosis and the selection of the best treatment options. Most or all of these tests may be performed at the clinic. Some are done right away, but others may require more time.

Based on the results of the tests, a diagnosis is made and a course of treatment will be recommended.

It is often helpful to bring your partner along to the consultation. In some cases, this can help to determine the issue faster. There is also the possibility that the problem is not just with you.

What Tests Are Performed By An Andrologist?

The following tests may be recommended by an andrologist to help clarify the diagnosis:

  • Semen analysis – A laboratory test to determine a man’s fertility.
  • Expressed Prostatic Secretions (EPS) analysis – Analyzes prostate secretions.
  • Ultrasound To examine the testicles and other parts of the scrotum.
  • Urethral smear – The interior of the urethra may be swabbed for testing.
  • PCR and PSA – Tests that help detect prostate cancer.
  • Blood analysis – To check for the presence of inflammation in the body.
  • Urinalysis – A urine sample may be taken for testing.
  • Biopsy – A tissue sample may be taken directly from the testicle, kidney, or prostate.
  • Bougienage of the urethra – A thin cylinder is inserted into the urethra to determine the extent that the urinary canal has narrowed.
  • Enodoscopy – Use of an endoscope enables doctors to diagnose conditions of the kidneys, bladder or urethra without the need for surgery.
  • X-ray and other imaging devices – offer a comprehensive picture of diseases and organ function.
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