Andrology is a medical specialty that deals with male sexual health and reproductive issues. It
encompasses a variety of health concerns such as male infertility, erectile dysfunction,
decreased libido, premature ejaculation, testosterone deficiency, and sexually transmitted
infections. These conditions can affect a man’s quality of life and are considered significant
health issues that require treatment.Who Manages the Andrology Department? The andrology
department is typically managed by urologists, as andrology is a subspecialty of urology.
However, it is also recognized as a distinct area of expertise and, in some cases, as a separate
medical specialty.How is an Andrology Examination Conducted? An andrology examination
begins with the doctor listening to the patient’s medical history, assessing his complaints, and
performing a physical examination. This includes a thorough examination of the testes, penis,
and prostate. The doctor may also request additional medical tests such as blood and urine
tests if deemed necessary. This examination is crucial for identifying reproductive and sexual
health issues in men and determining appropriate treatment methods.Problems Addressed by
the Andrology Department:Erection Problems: These include the inability to achieve or maintain
an erection sufficient for sexual intercourse. They can arise due to psychological, environmental,
or underlying health issues, such as cardiovascular disease, diabetes, smoking, and alcohol
use. Treatment options include oral medications, penile injections, shockwave therapy, and
penile prostheses.Male Infertility: This refers to issues related to sperm quality and production.
Various medical interventions and treatments are available to address these problems, aiding
natural conception for couples.Decreased Libido: Known as a lack of sexual desire or libido, this
can be influenced by hormonal, environmental, and psychological factors. Infections, hormonal
imbalances, and certain health conditions can also reduce sexual desire. Low testosterone
levels can be a contributing factor.Penile Structural Disorders: These include congenital penile
curvature and micropenis, which can significantly affect sexual intercourse and may require
surgical intervention.Ejaculation Disorders: These include premature ejaculation, the most
common issue, as well as delayed ejaculation and anejaculation. Various treatments are
available based on the underlying causes.Sexually Transmitted Diseases (STDs): Common in
sexually active individuals, untreated STDs can lead to infertility. Conditions like genital warts
can increase the risk of cervical cancer in women.Varicocele: An enlargement of the veins within
the scrotum that can affect fertility and may require surgical treatment.Prostate Diseases:
Common in older men, prostate enlargement can cause difficulties in urination and frequent
urination. Various treatments are available for benign prostate enlargement, while prostate
cancer treatment can lead to sexual function issues.Low Testosterone: Decreasing testosterone
levels in aging men can lead to reduced muscle strength, decreased libido, and depression.
Testosterone therapy can alleviate these symptoms.When to Consult an Andrology Specialist:
You should see an andrologist if you experience general reproductive system problems like
infertility, erection problems, premature ejaculation, decreased libido, painful intercourse,
abnormalities or pain in the penis, urination difficulties, frequent urination, bladder control
issues, decreased sperm count or quality, low testosterone levels, or concerns about sexual
identity or orientation. Additionally, if you have any history of prostate cancer or are at risk due to
age or ethnicity, consulting an andrologist is advised.Preparing for an Andrology
Consultation:Prepare a list of your symptoms and medical history.Inform the doctor about all
medications and supplements you are taking.Mention any allergies.Do not hesitate to ask
questions or express concerns during your visit.Andrology specialists will assess your medical
history and symptoms to provide necessary tests and diagnoses. Treatment options vary
depending on the underlying cause and individual circumstances, including medication, surgery,
lifestyle changes, and psychological counseling.