what is it Review of male medical expertise

Andrology is one of the specialized branches of medicine that specifically focuses on men's health, especially in the field of sexual function and reproduction. This scientific field is equivalent to the specialty of "gynecology and obstetrics" for women, but with a complete focus on the reproductive and hormonal system of men. Andrology specialist or andrologist examines and treats problems such as male infertility, erectile disorders, premature ejaculation, decrease in libido, hormonal disorders (such as testosterone reduction), testicular diseases, prostate, penis and other genetic abnormalities or male acquisition.

While most people are familiar with specialties such as urology (related to kidneys and urinary tracts) or gynecology and obstetrics, the name of andrology is less common in the public mind. Meanwhile, this field plays a very important role in increasing the quality of life, maintaining sexual health, preventing infertility, and treating hidden and common problems in men; Problems that many men refuse to see a doctor about due to cultural, psychological or lack of knowledge. By raising more awareness about andrology, it is possible to contribute significantly to the improvement of men's sexual and mental health.

The difference between andrology and urology is in the area of their specialized focus. Urology is a broad field in medicine that examines, diagnoses and treats diseases of the urinary system in men and women, as well as the male reproductive system. While andrology, as a specialized sub-discipline of urology, focuses specifically on sexual health, fertility and male hormones. To put it more simply, every andrologist is also a urologist, but every urologist does not necessarily specialize in andrology. For example, problems like male infertility, disorder Erection, premature ejaculation, testosterone reduction and diseases of the testicles and penile are included in the field of andrology, while diseases such as kidney stones, urinary tract infection or bladder cancer are specialized topics of urology.

Andrologist exclusively deals with the treatment of diseases and disorders related to the reproductive system, fertility and sexual function of men. These diseases can be hormonal, genetic, structural or psychological. In the following, we introduce the most important cases that andrology specialists deal with:

1. Male infertility (Male Infertility)

common sexual disorders in Men have a key role:

• Erectile Dysfunction
• Premature Ejaculation
• Decreased libido
• Reverse or delayed ejaculation

3. Male hormonal diseases

Any disturbance in the production or regulation of male hormones may cause widespread problems:

• Decreasing testosterone (Low T)
• Inflammation or prostate infection (prostatitis)
• Preliminary examinations for the diagnosis of prostate cancer

6. Sexual and fertility disorders caused by lifestyle or psychological factors

Sometimes sexual or fertility problems are caused by stress, poor nutrition, obesity or smoking. The andrologist can deal with these issues with expert advice and combined treatment (medicine and psychotherapy).

When should we see an andrology specialist?

Many men do not pay attention to their sexual health and fertility until they feel a serious problem. But sometimes seemingly simple symptoms can be a sign of an important underlying disease. If you experience any of the following conditions, it is absolutely necessary to see an andrology specialist:

1. Infertility after a year of trying:

If your wife has not gotten pregnant despite having regular sex without contraception for a year, it may be a problem of reduced sperm quality or testicular disorders that should be checked by an andrologist.

2. Erectile dysfunction or ejaculation:

Problems such as the inability to maintain an erection, premature ejaculation or delayed ejaculation can be signs of vascular, nervous or psychological disorders, the treatment of which is in the expertise of an andrologist.

3. Decreased libido or body energy:

Feeling of decreased interest in sex, chronic fatigue or loss of concentration can be caused by low testosterone levels, which requires a hormonal examination by a doctor.

4. Pain or swelling in the testicles:

If you feel pain, swelling, mass or change in size in one or both of your testicles, you may have diseases such as varicocele or testicular tumor and you need to see them immediately.

5. Deformation or deviation of the penis:

If your penis is abnormally curved or painful when erect, there is a possibility of Peyronie's disease or other structural problems that need to be treated.

6. Abnormal urinary symptoms:

Frequency of urination, weakness in the flow of urine or the feeling of incomplete emptying of the bladder may be due to prostate disorders, which are examined by andrology or urology.

7. Puberty disorders:

In teenagers, delayed puberty, insufficient growth of sexual organs or lack of masculine traits can indicate hormonal problems that require early medical intervention.

8. Need counseling for fertility or vasectomy:

If you decide to have children, or choose a vasectomy as a method of prevention, a consultation with an andrologist will help you make an informed decision and reduce the risks.

Some common treatment methods in andrology are:

• Pharmaceutical treatment of hormonal disorders: In cases such as decreased testosterone levels, hormone replacement drugs such as testosterone injections or gels are used to restore hormonal balance.
• Sexual enhancement drugs: To treat erectile dysfunction or premature ejaculation, drugs such as sildenafil (Viagra) or tadalafil (Cialis) and sometimes low-dose antidepressants are prescribed to control premature ejaculation.
• Sexual counseling and psychotherapy: In cases where sexual problems have psychological roots (such as sexual performance anxiety), counseling with a sexual psychotherapist or sex therapy can be very effective.
• Infertility treatment with drugs and supplements: To improve the quality of sperm in infertile men, drugs to stimulate sperm production and fertility enhancing supplements such as zinc, folic acid and L-carnitine are used.
• Reproductive assisted methods (ART): if the fertility problem is severe, from methods such as or IVF (in vitro fertilization) is used. Sometimes it is necessary to extract sperm through testicular sampling (TESE).
• Varicocele surgery: To treat varicocele (dilation of testicular veins), which is one of the common causes of infertility, varicocelectomy surgery is used to improve blood flow and sperm quality.
• Surgery to correct the curvature of the penis (Peyronie's disease): In cases where there is severe or painful curvature of the penis, surgery to correct the structure of the penis is performed.
• Treatment of testicular masses or cysts: If there are suspicious masses or cysts in the testicle, surgery is performed to remove and examine them.
• Surgery to unblock the vas deferens: If the vas deferens is blocked (congenital or acquired), the passage of the sperm is opened with microscopic surgeries.
• Counseling before vasectomy or the decision to have children: Andrology specialist, by examining the physical condition and fertility of the man, provides detailed guidance for deciding on vasectomy or pregnancy assistance.

Frequently Asked Questions (FAQ)

What does an andrologist specialize in?

Andrologist is a doctor who specializes in sexual disorders, fertility and men's health and can treat disorders related to sperm, testes, penis and prostate.

Is andrology a subcategory of urology?

Yes, andrology is a sub-specialty of urology that focuses only on men's health.

What is the difference between andrology and urology?

Urology includes the treatment of diseases of the kidney, bladder, urinary tract and reproductive system of men and women; But andrology only deals with the sexual health and fertility of men.

Does andrology help to treat premature ejaculation?

Yes, one of the main areas in andrology is the examination and treatment of ejaculation disorders, including premature ejaculation.