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Andrologist - what does he do? He is a doctor who deals with the male reproductive system, so he can be called the equivalent of a gynecologist for men. Andrology is an interdisciplinary field of medicine dealing with the physiology of male genital organs, their developmental defects and functional disorders (e.g. vascular, operational and endocrine, i.e. hormonal). Read about the symptoms with which to go to the andrologist, what diseases are diagnosed and which tests are performed by an andrology specialist.

Andrologist - what does this specialist do?He studies the causes and treats these problems at all stages of a man's life, from childhood to old age. The patientandrologistcan be both a little boy and an 80-year-old. Among those seeking help from him, a large group are men with symptoms of andropause, or "male menopause" - a complex of ailments resulting from the decreasing level of male sex hormones with age. A frequent reason for visiting an andrologist is also the inability to have children.Andrologyalso deals with the treatment of male infertility.

What does the andrologist's examination look like?

First, the andrologist conducts an interview - determines the nature of the disorders, the way they appear and develop, the frequency and duration. Then it assesses overall he alth, measures the heart rate in the arteries of the legs and blood pressure. She also examines the genitals and performs a rectal examination.

What examinations does the andrologist order?

If, after performing the above-mentioned tests, the andrologist finds that further tests are needed to make a diagnosis, he may order additional tests:

  • morphology,
  • general urine test,
  • sugar concentration,
  • cholesterol level,
  • testosterone concentration,
  • prolactin concentration,
  • creatinine concentration,
  • prostate examination.

With erection problems, it may be necessary to perform Doppler sonography and determine the level of hormones.

When the prostate gland is enlarged, the andrologist may also order ultrasound or prostate biopsy, examination of genital cancer markers (prostate, testes, adrenal glands): PSA, fl-HCG, AFP, CEA. Exercises to check fertilityalso semen analysis (seminogram).

With what symptoms to go to the andrologist?

A visit to an andrology specialist is recommended for the following symptoms:

  • pain, swelling in the genital area;
  • problems with urinating;
  • abnormal urine test;
  • abnormal blood test results;
  • sexual dysfunctions (e.g. erectile dysfunction, premature or delayed ejaculation, low libido);
  • problems conceiving a child;
  • symptoms of andropause.

What is the treatment after the visit to the andrologist?

It all depends on the problem with which the man shows up at the andrologist.

  • In the case of vas varicose veins, your doctor may refer you to an operation to restore the vas deferens, microsurgical reconstruction of the vas deferens, surgical treatment of varicose veins, in azoospermia (no sperm) - testicular biopsy and scrotal thermography using a thermal imaging camera.
  • With the symptoms of andropause, the doctor may order hormone therapy (testosterone), which restores sexual performance after 3-6 weeks, and alleviates physical and mental ailments.
  • When sperm is of poor quality, it thickens, among others. semen and separates he althy sperm which are used for artificial insemination.
  • In the case of neoplastic disease, proper oncological treatment is implemented.
Worth knowing

Men over 45 are advised to perform prostate examination and PSA concentration prophylactic in order to detect cancer early.

The article uses excerpts from Lidia Mikołajska's text that appeared in the monthly "Zdrowie".

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