Who is an andrologist: what does he treat and how is he different from a urologist?

An andrologist is a doctor who examines and treats only male patients. The name of this medical specialty comes from the Greek word “andros”, meaning “man”. The andrologist is in charge of the health of the male genitourinary system, as well as sexual and reproductive functions.

Pediatric andrologists see minor patients. From the age of 18 you should make an appointment with an andrologist for adults.

Where is the best place to go when you need a male andrologist?

To get a consultation with an andrologist, you must contact one of the following medical institutions:

• diagnostic center;
• multidisciplinary clinic;
• specialized clinic for male urology and andrology;
• inpatient hospital.

Diagnostic center or multidisciplinary clinic - for prevention

These options are ideal for those who need a consultation with an andrologist for prevention. When nothing bothers you, but you want to check if everything is okay. In such cases, it is quite enough to pass basic tests and undergo an ultrasound. Even if all indicators are normal, it is advisable to undergo such diagnostics approximately once a year.

Specialized clinic for male urology and andrology - for outpatient treatment

This option is for those who have symptoms (pain, discharge, problems with potency and/or ejaculation, frequent urination, infertility). Such clinics have everything necessary to carry out full diagnostics and comprehensive treatment:

• In case of acute pain, emergency assistance can be provided here.
• For chronic conditions, a course of therapy will be offered using the most modern hardware treatment methods.

Inpatient hospital - for hospitalization

You just can't get here. They are either sent by doctors from polyclinics and specialized clinics, or brought by ambulance paramedics.

Inpatient treatment is indicated for those who need:

• under 24-hour medical supervision,
• or in surgery.

In what situations should you consult an andrologist?

1. Infertile marriage.

Infertility in the family has become one of the most common medical and social problems over the past decades throughout the world.

We can talk about the presence of male infertility in the absence of the desired conception. In this case, regular sexual activity with a healthy woman of childbearing age must be maintained for 1 year. Another condition is the absence of measures to prevent pregnancy on the part of both partners.

2. Conditions,

which are characterized by a decrease (loss) of sexual desire and a parallel decrease in the frequency and strength of erections that occur.

3. Underdevelopment of male genital organs

and inadequate development of secondary sexual characteristics, namely decreased genital tone, etc. This may indicate a possible deficiency or imbalance in the amount and ratio of sex hormones, which may require drug correction.

4. Any problems with potency.

It's no secret that almost every man in his life has at least once encountered problems with erection, difficulties in achieving it or maintaining it at a level sufficient to perform satisfactory sexual intercourse. Recent advances in the science of andrology provide real positive prospects for restoring and maintaining an erection, as well as sufficient sexual activity.

Dysfunction during erection is a condition that can be quite successfully corrected and eliminated. The first step towards solving the problem should be awareness of the problem and making a positive decision in the direction of visiting the necessary specialist.

Groups of diseases in outpatient andrology

• Inflammation of the internal and/or external genital organs (prostatitis, epididymitis, orchitis, vesiculitis, urethritis, cystitis, etc.).
• Infectious diseases, including sexually transmitted infections.
• Diseases caused by hormonal disorders - a lack or excess of male hormones.
• Benign tumors (prostate adenoma).
• Infertility.
• Decreased libido, weakened potency.

Do you need any preparation for the appointment?

Regular examination by an andrologist is considered good form for men who monitor their health, including reproductive health. Older and middle-aged men are recommended to consult a doctor at least once every six months, while for young men an annual examination is sufficient. The sooner a disorder or incipient pathology is detected, the easier it is to eliminate it or minimize the risks.

To properly prepare for a meeting with a doctor, you need to know what the andrologist does during the appointment. At the first appointment, he examines the external genitalia, so at the preparation stage it is necessary to take hygienic measures: take a shower, put on clean underwear.

Since we are talking about a sensitive area, many men are embarrassed to talk about their problems and, out of excitement, omit significant details of their sexuality. When preparing for your appointment, it is advisable to write down questions that you would like to ask the doctor. In this case, the appointment will be more productive, and the doctor will be able to quickly and accurately select adequate treatment, if necessary.

Symptoms that require consultation with an andrologist

You should definitely make an appointment with a male andrologist if you are concerned about the following problems and symptoms :

Pain in the lower abdomen in men

Pain, burning in the genitals in men

Discharge from the genital organs in men

Pathological (requiring treatment) discharges are: - mucous, watery or purulent; - odorless or odorless; - transparent, white, yellow, etc.; - with streaks of blood or bloody clots; - can come out only after urination or independently of it.

Problems with urination

Acute pain in the male genital organs

They occur in the groin, penis, testicles, lower abdomen, prostate area during urination, during or after sexual intercourse, during any physical activity - be it normal walking, bending, lifting heavy objects or intense sports. The pain may flare up suddenly while you're at rest or wake you up while you sleep. Such pain usually goes away within a few minutes after its onset. They are more characteristic of the acute phase of diseases - inflammatory or infectious.

Aching pain in the groin area in men (inside and/or outside)

Experts usually call such conditions “chronic pain syndrome.” As the term implies, they usually indicate the presence of chronic problems. Pain can have varying degrees of severity - from barely noticeable to unbearable. They occur frequently, for no apparent reason, and can become almost permanent. If you are used to drowning them out with painkillers, then sooner or later they may stop helping, as the disease itself continues to progress. Pain usually occurs during urination, during erection or ejaculation, or after it. May be accompanied by frequent urination, bloody or mucous discharge. If the pain is accompanied by acute urinary retention or intestinal obstruction, this is a reason to call an ambulance.

Decreased libido in men (weakened sexual desire)

The most common cause is hormonal changes, in particular a decrease in the level of the male hormone testosterone or an increase in the level of female hormones.

Change in urination pattern

Various variations are possible, for example: - weakening of urine pressure; - the need to push to start urinating; - thin stream of urine; - splitting of the stream (it can cause urine to splash in different directions); - slow rate of urination; - intermittent urination; - urine output in separate drops.

Frequent urination

As practice shows, many men consider this to be normal. Some perceive this as age-related changes, others explain it by drinking a lot of fluid. Still others convince themselves that it is a cold that will soon go away on its own. In fact, frequent trips to the toilet can be considered the norm only if the problem disappears on its own within 24 hours. If it hasn’t passed within a day, this is a serious reason to undergo a urological examination as quickly as possible. This is how stage 2 prostate adenoma can manifest itself - it can be cured without surgery (at stage 3, surgical intervention is usually required).

Weakness or absence of erection

There are only 5 main reasons identified by urologists: 1. Hormonal imbalance - a decrease in the level of male hormones, an increase in the amount of female hormones. 2. Infections - sexually transmitted diseases, or infections that are “dormant” in the body, awakening under certain conditions. 3. Inflammation - prostatitis, epididymitis, urethritis, vesiculitis, cystitis and others. 4. Vascular problems - partial or complete blockage of the vessels of the penis due to the formation of atherosclerotic plaques. 5. Neurological problems - various diseases of the spine (especially the lumbar and lumbosacral regions) and the nervous system.

Regardless of the presence or absence of complaints, every man should be regularly examined by an andrologist, especially after the age of 40.

When planning a natural pregnancy, a preliminary consultation with a specialist is also advisable.

Andrologist – male doctor? What it treats, indications for visiting, making an appointment - at the MEDSI Clinic

Table of contents

• What does an andrologist treat?
• Organs treated by an andrologist
• In what cases should you contact a specialist?
• Symptoms for which you should contact an andrologist
• How is an appointment with an andrologist?
• Preparing for your appointment
• Advantages of contacting MEDSI

An andrologist is a doctor who deals with the prevention, diagnosis and treatment of diseases that affect only the stronger sex. The main activity of professionals is to restore and maintain reproductive health. Specialists treat diseases associated with hormonal disorders and erectile dysfunction. They also successfully fight male infertility.

What does an andrologist treat?

Doctors treat diseases such as:

• BPH
  . This pathology is accompanied by the proliferation of prostate tissue
• Prostatitis
  . This is a pathological inflammation of the prostate gland
• Phimosis
  . This disease is characterized by a narrowing of the ring on the side of the foreskin. Pathology complicates or makes it impossible to remove the glans penis
• Varicocele
  . This pathology is varicose veins of the testicles. The disease reduces important sperm quality indicators and increases the risk of male infertility
• Metabolic syndrome
  . It includes a whole complex of pathological processes that develop against the background of metabolic disorders or insufficient production of male sex hormones

Andrologists also deal with the following pathologies:

• Male menopause
• Sexually transmitted diseases
• Male infertility (regardless of its causes)
• Oncological processes that affect the organs of the reproductive system
• Endocrine diseases associated with insufficient or excessive production of hormones
• Dysfunction of the reproductive system

Due to the wide variety of areas of activity, there are several specializations of doctors. Many clinics employ andrologists-oncologists, andrologists-endocrinologists, etc. Medical universities graduate specialists who work not only with adult patients, but also with children and adolescents. Specialists successfully eliminate both congenital and acquired pathologies. Doctors deal with conservative and surgical treatment of diseases of the genital organs.

Organs treated by an andrologist

Doctors treat organs such as:

• Kidneys, ureter and bladder
• Prostate
• Penis, testicles and appendages
• Urethra

Consultation with an andrologist is necessary for patients who suffer from inflammatory and other diseases of any of these organs. You should make an appointment after noticing the first symptoms. This will allow you to quickly make a diagnosis and prescribe adequate therapy, preventing the development of complications and reducing negative health consequences.

In what cases should you contact a specialist?

An appointment with an andrologist is required if:

• Any erectile dysfunction (both physiological and psychological)
• Visible inflammatory processes accompanied by redness, pain, rashes, problems with urination or abnormal discharge
• External changes in the pelvic organs (changes in the shape of the scrotum, neoplasms, prominent veins, etc.)
• Congenital and acquired pathologies of any type
• Any signs indicating early aging of the body
• Planning your partner's pregnancy
• Changes associated with morning erection

You can consult a doctor with any questions about contraception. It is mandatory for all men aged 45-50 to visit a specialist. Timely examination allows you to prevent age-related changes in the sexual sphere. Correction of pathological conditions in the early stages is carried out with maximum efficiency.

Symptoms for which you should contact an andrologist

You should make an appointment if you have symptoms of diseases such as:

• Pain and discomfort during or immediately after intercourse
• Sudden, uncharacteristic discharge from the urethra
• Itching in the external genital area
• Erectile dysfunction
• Pain and burning during urination, increase in frequency and change in character
• Decreased libido
• Problems with potency
• Infertility
• Other reproductive system disorders

How is an appointment with an andrologist?

An appointment with a specialist is always carried out in several stages.

Among them:

• Collection of information
  necessary for a general assessment of the patient’s condition and diagnosis. You should tell your doctor as frankly as possible about all your complaints, discomfort, pain, etc.
• External examination
  of the genital organs
• Digital examination
  through the rectal wall
• Urethral swab
• Issuing referrals
  for necessary examinations (ultrasound, spermogram, etc.)

How often should you visit a doctor?

A preventive consultation with an andrologist is required for all representatives of the stronger sex without exception. It should be carried out at least once a year. Men who already suffer from genital diseases should pay special attention to their health. In this case, inspections can be carried out every six months or even more often. Men over 45-50 years of age should also visit an andrologist. Many representatives of the stronger sex today suffer from diseases such as prostatitis and prostate adenoma. Timely diagnosis allows you to quickly detect pathology and eliminate it without surgery, preserving men's health and sexual function.

Preparing for your appointment

Before inspection you should:

• Avoid sexual intercourse (1-2 days before your appointment)
• Empty your bowels
• Carry out standard hygiene procedures (take a shower)

It is also advisable to stop drinking alcohol and smoking. Toxic substances may affect test results.

If the inspection requires special preparation, you will be told about it in advance.

Advantages of contacting MEDSI

• Highly qualified doctors
  . Our andrologists have the necessary knowledge and skills to diagnose and treat all diseases: from prostatitis to sexual dysfunction. Specialists regularly undergo training in leading medical centers in Russia and abroad
• Possibility of comprehensive examination
  . Instrumental studies are carried out using modern equipment. Laboratory diagnostics are carried out in MEDSI’s own laboratory. Tests can be taken in CITO (urgent) mode, receiving results on the day of treatment
• Use of modern treatment methods
  . Thanks to this, doctors are able to prevent the development of complications
• Comfortable treatment conditions
  with andrologists in Moscow
• Opportunity to receive advice
  from other specialists
• Confidentiality of all procedures
• Complex therapy
  of detected pathologies, taking into account the individual characteristics of the patient
• Optimal cost of visiting
  an andrologist. You can check it in advance

If you would like to make an appointment for a consultation, call +7 (495) 7-800-500.

At the andrologist's appointment

An appointment with a male andrologist takes place in several stages.

The first stage is communication. The doctor will listen to all complaints and ask the necessary questions.

The second stage is an examination of the genital organs and prostate gland. The latter is examined through the rectum using palpation.

The third stage is diagnosis. The doctor gives a referral for tests and a referral to undergo the necessary tests and examinations.

The fourth stage is the appointment of therapy. After receiving the tests, the doctor develops a treatment regimen and recommends it to the patient.

The fifth stage is preventive work. After treatment, the doctor will tell you in detail about methods of preventing this disease in order to avoid relapses.

Who is the andrologist surgeon?

The main direction of andrology is the treatment of diseases of the genital area. Some of the pathologies encountered can only be corrected through surgery, since drug treatment remains powerless. This applies to both congenital pathologies and acquired ones. Thus, when understanding the andrologist surgeon, who he is and what actions he performs, it is worth considering the list of operations that he performs.

Who is an andrologist and what does he do during surgical treatment?

Operations can be performed on almost everything that an andrologist treats in men. The main ones include:

• Correction of the frenulum on the penis. A frenulum is a strip of tissue that serves to connect the foreskin to the head of the penis. In some cases, whether after injury or due to congenital conditions, the frenulum may be too short. This creates discomfort and pain. If surgery is not performed, this can lead to cracks in the penis. A short frenulum causes premature ejaculation.
• Excision of the foreskin. This procedure is also called circumcision, as it involves removing the foreskin. This is not only a cultural phenomenon among some peoples, but also a medical indication for certain diseases. Circumcision may be prescribed for pathological thickening, narrowing and growth of the foreskin, which is inherent in some diseases.
• Removing fluid from testicular hydrocele. When considering what an andrologist does at an appointment, you need to remember that it all starts with the collection of tests and examination. This is very important when determining the type of testicular hydrocele, since much depends on the size of the cavity where the fluid is located, the patient’s age and other indications are taken into account. Based on this, the type of operation is determined. The standard procedure is to dissect the testicle, after which the accumulated fluid is removed and everything is stitched back together. They may also use a needle to suction out the fluid without cutting. It is inserted into the cavity and empties it.
• Removal of dilated veins when a varicocele is detected. Laser coagulation is most often used here. The doctor cauterizes the problematic veins using a special laser. After this, the treated veins do not participate in the blood supply to the testicles. Sclerotherapy can also be used. During this operation, doctors glue the vein together, injecting a special drug into it, which does all the work inside the body.
• Testicular prosthesis. An appointment with an andrologist may result in a referral for surgery, even if there is no urgency in carrying out this procedure, since cosmetic procedures can also be performed here. Thanks to prosthetics, the appearance of the scrotum is corrected. If a man has only one testicle, then it turns out to be asymmetrical. During the operation, a polymer implant is implanted into the scrotum, which is selected individually in each case.
• Urethroplasty. The website of male andrologists, in the list of services provided, can also offer urethroplasty, which sometimes needs normalization due to congenital pathologies or any injuries. Then the urethra becomes deformed. What kind of surgery will be performed depends on the type of defect. This can be a simple operation with local anesthesia, which is performed when the urethra narrows during the formation of coarser scar tissue in place of the mucous membrane (stricture). If a piece of the patient’s skin is taken to restore the shape of the urethra, then general anesthesia will be required.
• Curvature of the genital organ. In order for the penis to take its natural shape, the andrologist surgeon makes an incision on it. In the resulting hole, the cavernous bodies, of which the genital organ consists, are shortened. By removing tissue from the side opposite to the resulting curvature, you can make it more even. This method leads to a decrease in the size of the penis. If it is necessary to maintain the length, then another operation is performed. Here, pieces of skin are implanted into the penis, on the side where the curvature occurs.

Female andrologist, what kind of doctor

Andrology deals with the male genitourinary area, so traditionally it works with men. But there are also female specialists in this field. This does not mean at all that they deal with women, since andrology does not consider women's diseases. This applies not only to those specialists who conduct the consultation, but also to surgeons. There are no restrictions based on gender or other characteristics of females in this profession. Female andrologists perform the same procedures as their male colleagues.

How much does an andrologist cost, what does he do?

If we are talking about public clinics, then appointments and consultations are provided free of charge, as they are included in the list of services provided under the insurance policy. Most operations in this area are also carried out free of charge. But all this applies only to those cases when everything is done officially in city clinics. As a rule, payment for the operation itself is not required, but you need to buy anesthesia and some additional things. Still, all this is much cheaper than in private clinics.

Doctor for men (andrologist), price.

in paid hospitals varies greatly, depending on what experience the doctor has and what clinic he works in. The main differences are in the prices of operations, since the cost of the same procedure can differ even several times. The same applies to consultations, but the price of consultations is usually several times less than surgery.

Diagnosis by an andrologist

A modern andrologist has a large number of diagnostic methods in his arsenal: from laboratory to instrumental. This:

• blood and urine tests;
• analysis of a smear from the urethra (detects inflammation and its causative agent);
• spermogram (determines the ability of sperm to fertilize, identifies urological diseases, hormonal disorders, infections);
• ultrasound examination of the pelvic organs;
• Dopplerography of the vessels of the genitourinary system;
• biochemical screening;
• blood test to determine prostate specific antigen;
• hormone tests;
• endoscopy;
• uroflowmetry (method for determining the rate of urination);
• rheofallography (used for erectile dysfunction, measures the resistance of the blood vessels of the penis).

In some cases, computed or magnetic resonance imaging, x-ray examination, and vasography are performed.

After the research, therapy is prescribed and the necessary treatment methods are selected.

How to find a good andrologist

“Suggest a good andrologist” is the most common request on women’s forums where pregnancy planning is discussed. The question is relevant because for many men, after a prescribed course of treatment, fertility becomes even worse. The reason is incorrect diagnosis, negligence, indifference or illiteracy of the doctor. A good andrologist approaches each patient individually, prescribes targeted studies and effective treatment.

The most reliable option is to look for an andrologist based on real reviews on independent forums. For example, if a man has problems conceiving and needs a fertility specialist, then there is a lot of information here: https://www.probirka.org/forum/viewtopic.php?f=163&t=20358, https://www.woman.ru/relations /medley4/thread/4171826/, https://www.babyblog.ru/theme/androlog-v-moskve.

If a man is dissatisfied with the size of his penis, there are problems with the veins of the scrotum, seminiferous tubules, prostate (adenoma), then an andrologist-surgeon is needed. Many people praise Petrovich R. Yu. (https://www.andro-forum.ru/). You can contact him for the following questions:

1. Male infertility.
2. Genital plastic surgery (lengthening, thickening of the penis, circumcision, plastic surgery of the frenulum).
3. Correction of premature ejaculation.
4. Erectile disfunction.
5. Treatment of androgen deficiency.

Another famous operating andrologist is M. M. Sokolshchik (www.mdsokol.ru/surgery/andrology/). You can also contact him on issues of urology, impotence of various origins and genital surgery.

K. A. Menshchikov is considered a competent urologist-andrologist (www.genital-clinic.ru/dr-menschikov). He has performed more than 500 penile implantations. Every year he performs more than 200 operations on the scrotum, bladder, prostate, and urethra. Proficient in various techniques for correcting the shape of the penis.

The above doctors are accepted in Moscow. Known for their own development of genital surgery techniques

The cost of visiting a urologist depends on the clinic and the doctor’s qualifications. For example, in St. Petersburg, a consultation with a urologist-andrologist of the highest category with 17 years of experience costs 750 rubles. (“Medical on group”). An appointment with a specialist with 47 years of experience will cost 1,500 rubles. ("Union Clinic").

Treatment methods

When developing a course of treatment, the doctor relies on two factors: Complexity and Individual approach. The selection of methods is directly related to the specifics of the identified disease. Treatment can be either conservative or surgical.

Treatment without surgery

1. Drug therapy
   antifungal drugs (prescribed if the source of the problem is a fungus);
2. anti-inflammatory drugs;
3. painkillers;
4. hormone replacement therapy.
5. Physiotherapy:
   shock wave therapy (SWT);
6. magnetic therapy;
7. laser therapy;
8. hardware vacuum massage of the genital organs;
9. prostate massage;
10. ozone therapy and many others.

Additionally the following may be recommended:

• correction of nutrition and lifestyle;
• physiotherapy;
• psychotherapy.

Surgical methods

Various operations are indicated only when conservative therapy is obviously ineffective, for example, for problems such as:

• congenital pathologies in the structure of the genital organs,
• malignant tumors,
• genital injuries,
• the presence of phimosis, recurrent balanitis, varicocele,
• acute urinary retention.

In all other cases, it is recommended to start with non-surgical methods. And only if they are completely ineffective, make a decision about surgery.

Treatment

After the examination and receipt of test and diagnostic data, the doctor prescribes treatment. He is obliged to explain his appointments to the patient. Very often, at the initial stage of the disease, the patient simply needs to adhere to a special diet, add physical activity (moderate), and give up bad habits (smoking and drinking alcohol). Thanks to all this, the patient’s spermogram can significantly improve. In addition, problems with premature ejaculation and desire may go away.

If there is such a need, the andrologist will help you choose personal protective equipment. If infectious diseases are diagnosed, antibiotic therapy is prescribed. For fungal diseases - antifungal therapy.

Massages, physiotherapeutic measures, immunotherapy can be prescribed as auxiliary elements of treatment. In some cases, psychotherapy may be needed.

Problems that arise due to hormonal imbalance require the use of hormonal medications. Erectile dysfunction is treated with drugs called potency regulators. For male infertility, combination therapy can be prescribed using hormonal agents and stimulants at the same time. In each individual case, the method of treatment depends on the reasons that led to the development of the disease. Surgical intervention by operation is indicated for the following diseases - phimosis, cryptorchidism, varicocele, hypospadias, adenoma, as well as for congenital or acquired pathologies of the external male genitalia. In addition, the andrologist will help you if you are experiencing aesthetic problems - you do not like the shape of the penis, aesthetics, or you want to prepare for a gender change.

Make an appointment

You can make an appointment with an andrologist either in government institutions or in private ones. Not all state clinics have andrologists on staff. Often the receptionist will refer you to a urologist. This is not true. You can find an andrologist in a private clinic with a wide profile. In addition, there are highly specialized institutions in Moscow - andrology and urology clinics. They are equipped with the latest equipment and qualified doctors. Specialization in one area allows us to provide services of the highest quality. However, the cost of consultation with an andrologist and further treatment in such clinics will be quite high. However, the editors of our site are confident that treatment of problems of the reproductive system requires special attention.

Reviews

• Leonid, 49 years old. Over the past few months, problems began to arise in bed with my wife and mistress. If before I was enough for two fronts, then the disruptions began. Either with his wife or with his mistress. I have been actively involved in sports in my life, I keep myself in shape, I have no bad habits, I like to have fun with women. And I had no intention of refusing. And I don’t like going to hospitals. But where to go? I contacted a private clinic - anonymously and the reviews on the website were good. Passed diagnostics. Prostatitis was diagnosed. I don’t know where I managed to catch it. Maybe there's a wind somewhere. They prescribed me pills and a massage. The massage was certainly unpleasant, I wanted to howl like a bull. But where to go? 1 month of treatment, then control diagnostics were carried out 2 more times. The infection is gone. Gradually my sexual fervor returned. Now life has improved - the wife is happy, and so is the mistress. I'm not complaining either :-)
• Irina, 35 years old. My husband’s penis “fell” during sex. He is very shy and modest, he was afraid to go to the doctor. But we are young, we want normal sex. I dragged him to a private clinic so that he wouldn’t have to worry about going to the clinic. We went through diagnostics and it turned out to be urethritis. The doctor said that this could cause problems like this. We were treated. The treatment is not complicated and not expensive. The result is excellent. Take care of yourself and your husbands!
• Fedor Viktorovich, 65 years old. I'm a former miner. Never had any health problems. I've had the flu twice in my life and that's it. But age takes its toll. I started running to the toilet at night. 3-4 times. I went to the clinic to see a urologist, they found chronic prostatitis. I have no idea where he came from. I'm undergoing treatment now. The doctor is good, the pills are not expensive. With faith in recovery, I wish you all health and goodness!

Advice from andrologists for men

• If you have any problems, don’t be patient, consult a doctor. It is easier to solve problems in the early stages.
• Following a diet, proper physical activity and giving up bad habits will prolong your sex life and relieve intimate problems.
• Much depends on your cleanliness. Maintain personal hygiene and raise your children this way.
• Various infectious diseases can lead to prostatitis, so treat all problems and don’t stop halfway.
• Make it a rule after 45 years to visit an andrologist every six months without fail to maintain your health.

Conclusion

Diseases of the genitourinary system not only harm the functionality of organs, but also cause significant psychological discomfort to men. If you experience the symptoms described in our article, be sure to contact an andrologist. It will help solve your problems and you will be healthy again!

Recommended andrologists in Moscow:

Publication date: 10-04-2019

Specializations of urologists-andrologists

The profession of andrologist also involves a number of even narrower specializations:

1. Pediatric andrologist - corrects congenital pathologies, supervises the problems of sex education
2. Andrologist-endocrinologist. His field of activity includes pathologies associated with disruption of the glands
3. Andrologist-oncologist - diagnoses and treats tumors of the male genitourinary system.
4. Andrologist-reproductologist. Fights infertility.
5. Andrologist-surgeon. Performs surgeries to restore lost sexual function, eliminates cosmetic defects, and performs genital plastic surgery and castration.
6. Andrologist-sexologist. Deals with potency disorders caused by the patient’s mental characteristics.

What does an andrologist treat?

The andrologist's job is to help male patients with their unique male problems, most of which are reproductive or urological in nature.

An andrologist can be called the male equivalent of a gynecologist, treating men's most intimate diseases, conditions, diseases and dysfunctions such as testicular cancer, erectile dysfunction, infertility and genital injuries. The doctor interviews, examines patients to diagnose their conditions, and then prescribes treatments that range from prescription drugs to surgery.

Since an andrologist specializes in sexual and reproductive health, his day is not filled with common colds and flu. Instead, they are filled with vasectomies, fertility tests, hormone treatments and even the occasional sex reassignment surgery. Considerable time is spent reviewing laboratory reports as he is specially trained to interpret the results of diagnostic tests of male tissues and fluids, including blood, urine and semen.

One of the important aspects of an andrologist’s work is not the fight against cancer or the elimination of impotence, but the psychological fight against disease. The doctor breaks through the patients' thinking to complement diagnosis and treatment with reassurance and comfort.

Andrologists' recommendations for men's health

1. Move and exercise. This will allow your body to remain young as long as possible and will also prevent congestion in the prostate gland.
2. Eat right, give up bad habits.
3. Avoid hypothermia and overheating, strong vibrations and squeezing. All these phenomena contribute to the development of diseases.
4. Once a year, undergo an examination by an andrologist, urologist, and venereologist.
5. Do not self-medicate. For any symptoms related to the functioning of the kidneys, penis, urethra, testicles and their appendages, ureters, urethra, immediately contact a specialist (a public clinic or a paid andrologist). This visit will help stop the development of the disease and prevent the disease from entering the chronic stage.

What are the names of the diseases that the doctor treats?

You should contact an andrologist if: prostate adenoma (prostate tissue grows, causing discomfort, pain and disrupting the functions of the prostate gland), prostatitis (pathological inflammatory process of the prostate), varicocele (a disease manifested by varicose veins in the testicles, thereby affecting the quality of sperm and can cause infertility), phimosis (a pathological phenomenon, accompanied by a narrowing of the ring on the side of the foreskin, which makes it difficult to remove the head from the penis), metabolic syndrome (the syndrome is accompanied by a whole complex of pathologies that have developed due to metabolic disorders and lack of production of testosterone and other hormones), menopause in men (the disease occurs and progresses as a result of disruption of the production of hormones responsible for stimulation of the testicles).

Pathologies and disorders that are examined and treated by an andrologist:

• sexually transmitted diseases (hepatitis, HIV infection, gonorrhea, syphilis, ureaplasmosis, genital herpes, candidiasis);
• male infertility (regardless of the reasons that provoked the development of the disease);
• oncology of the penis and testicles;
• sexual dysfunction (the doctor examines the psychological and physiological components of the disease);
• lack or excess production of male hormones;
• pathologies that are treated by androgenital surgery (elimination of external and internal defects of the genitals);
• menopause (age-related aging of the body, causing diseases of the genitourinary system, heart and blood vessels).

Only a qualified specialist will be able to determine the disease based on research and diagnostic data and prescribe prompt and effective treatment.

How to choose a male andrologist

Of course, it is impossible to determine unambiguously which andrologist is the best. However, it is worth considering that the professionalism of any specialist in the field of medicine is determined primarily by the depth of knowledge and breadth of practical experience.

Therefore, the ideal option in this case is to consult a doctor who specializes in working only with men . After all, he faces the most complex diseases of the male reproductive system every day.

Urologists who see both men and women may, in some cases, not have adequate experience in the field of andrology. Be sure to check whether the doctor you choose is a specialist in the treatment of male genitourinary diseases.

Paid or free?

You can find a good andrologist both in government institutions and in paid clinics.

However, paid medicine provides many more opportunities for providing high-quality medical services. An andrologist at a paid center can pay attention to every detail and conduct a thorough diagnosis.

In addition, in private clinics, unlike municipal ones, andrologist services are provided without queues, which will save not only your time, but also your nerves.

The next point is analyzes and research. Many paid clinics have the most modern equipment - both for diagnosis and treatment.

What is the difference between an andrologist and a urologist?

It is still not clear to everyone what an andrologist treats for men and why a visit to a regular urologist cannot be avoided? Andrology is a branch of urology for solving purely male sexual problems. The andrologist must, in addition, have special knowledge in the field of psychology, since not every man can freely talk about his sexual problems and even simply admit that they exist. A modern andrologist is in charge of solving problems of reproductive and sexual function exclusively in men.

Diagnostics

The basic diagnosis consists of an analysis of the patient's medical history, a physical examination, including an ultrasound of the genitals, a spermogram, hormonal analysis, and, if necessary, a history of the couple's concerns. If necessary, a testicular biopsy and genetic testing are performed. Recent studies have shown the influence of lifestyle factors on male fertility. Thus, medical history and clinical examinations have become mandatory in diagnosis to include information about metabolic disorders such as obesity and diabetes mellitus. Upon diagnosis, the specialist refers the patient to a diagnostic andrology laboratory. Male diseases can be a complex problem and a range of diagnostic tests for male reproductive health are provided, including semen analysis and advanced semen testing.

Diagnostic tests

To ensure the most accurate analysis, diagnostic activities include:

• Sperm examination;
• Sperm processing for assisted reproductive technologies, processes such as IVF used to achieve pregnancy;
• Sperm analysis after vasectomy to confirm the clinical picture;
• Testicular biopsy assessment;
• Diagnosis of the excretory function of the testicles and other glands;
• Genography.

In what cases should you contact a urologist, or What does a urologist treat?

For your convenience, we have compiled a list of the main complaints with which you need to contact a urologist in Krasnoyarsk. If you have any questions about this, you can always contact the specialists of the Andromed Center for Andrology and Diagnostics to clarify the information. So, now more about the reasons for contacting a urologist in Krasnoyarsk:

• the presence of painful or uncomfortable sensations during urination;
• other disturbances in the process of urination, including frequent and/or false urges, changes in the volume of urine excreted;
• the appearance of pathological impurities in the urine - this can be purulent discharge, blood, mucus, etc.;
• change in the smell of urine - the appearance of an uncharacteristic odor, its intensification, etc.;
• the appearance of pain in the lumbar region;
• problems with men's health, manifested by a violation of the ejaculation process, erectile dysfunction, changes in seminal fluid, etc.;
• visually detectable changes in the external male genitalia - redness, swelling, rashes and others.

If you have any other complaints not included in this list, please contact the Andromed Center for Andrology and Diagnostics at the specified phone numbers so that the manager can direct you to an appointment with a particular doctor. You can also send us a question electronically by filling out the appropriate form on the website.

Consultation stages

If you consult a specialist for timely consultation, then diseases of the male genital organs in the initial stages will be easily treatable. If you have any pathologies, consultation is necessary:

• male infertility;
• erectile dysfunction of physical and psychological origin;
• premature ejaculation;
• pathologies of the external genitalia, acquired or congenital;
• processes of inflammation of the genitourinary system;
• sexually transmitted infections;
• neoplasm on the genitals;
• problems associated with male contraception.

Even with minor problems regarding dysfunction of the reproductive system, you should make an appointment with a specialist. Indeed, with minimal deviations in the sexual area, any discomfort in the genitals should be an excuse to consult an andrologist. It is advisable to take your results, medical records, and other documents related to the problem with you to your appointment. One of the stages of consultation is an examination and anamnesis. The next stage of consultation is the appointment of additional examinations, based on the results of the data obtained, among them are:

• clinical analysis of urine and blood;
• establishing the level of hormones such as testosterone, prolactin, estradiol, follicle-stimulating hormone, dihydrotestosterone, inhibin B;
• establishing the level of thyroid hormones;
• biochemical blood test: cholesterol, glucose, triglycerides;
• blood test for prostate specific antigen;
• spermogram, MAR test, HBA test, sperm DNA fragmentation;

If the need arises, the andrologist gives the patient a referral for consultation with another specialist who is ready to draw up a subsequent treatment program.

What does an andrologist do?

What does an andrologist do? The scope of his activity is quite extensive. A highly specialized specialist studies and prescribes treatment for pathologies associated with the urinary, urinary and reproductive systems of men. The doctor treats male problems that are accompanied by lack of sexual desire, erectile dysfunction, and infertility. Patients who have not reached the age of majority are treated by a pediatric urologist-andrologist. If a young person is already 18 years old, if there are complaints, he should contact an andrologist for adults.

After a thorough examination, the doctor gives a referral for a diagnostic examination, the results of which will help establish an accurate diagnosis. After this, a comprehensive treatment regimen is prescribed. The multidisciplinary medical clinic “Medial” employs professional andrologists with many years of experience and extensive experience. Patients who contact us receive a full range of medical services and a guarantee of quality treatment.

Cost of services

The cost of treatment by an andrologist at the Medial clinic is calculated individually, taking into account the specific clinical situation. Our patients are always satisfied with the service and effectiveness of treatment. We use the latest technologies and equipment for diagnosis and therapy. Experienced specialists work here who constantly improve their skills and value their reputation. The multidisciplinary medical clinic “Medial” has the most affordable prices, favorable promotions and the opportunity to get an interest-free loan. If you are concerned about any suspicious symptoms and need advice from real professionals, call us and make an appointment.