Andrology Doctor Ankara Turkey

What Is an Andrology Doctor?

An andrology doctor is a urologist who specializes in the diagnosis, treatment, and management of diseases affecting the male reproductive system and male sexual health. Andrology is a subspecialty of urology that focuses on conditions such as male infertility, erectile dysfunction (ED),premature ejaculation, testosterone deficiency, penile curvature (Peyronie's disease),and a wide range of disorders involving the male reproductive organs.

An andrology specialist not only treats these conditions but also evaluates hormonal balance, reproductive function, and sexual health using a comprehensive approach to develop an individualized treatment plan for each patient.

What Conditions Does an Andrology Doctor Treat?

An andrology specialist diagnoses and treats a broad range of conditions affecting male reproductive health and sexual function.

The most commonly treated conditions include:

• Male infertility
• Erectile dysfunction (ED)
• Premature ejaculation
• Delayed ejaculation
• Low testosterone (Hypogonadism)
• Varicocele
• Peyronie's disease
• Penile curvature
• Reduced libido (Low sexual desire)
• Male hormonal disorders
• Spermatocele
• Hydrocele
• Testicular pain
• Testicular dysfunction

When Should You See an Andrology Doctor?

Problems related to male fertility or sexual function can significantly affect quality of life and may also indicate an underlying medical condition.

You should consider consulting an andrology specialist if you experience infertility despite more than one year of regular unprotected intercourse, recurrent erectile dysfunction, a noticeable decrease in sexual desire, premature or delayed ejaculation, blood in the semen (hematospermia),pain or swelling in the testicles, penile curvature that interferes with sexual intercourse, or symptoms suggestive of low testosterone such as fatigue, reduced muscle mass, and low energy levels.

Early diagnosis and treatment can prevent the progression of many andrological conditions and significantly improve treatment outcomes.

What Happens During the First Visit to an Andrology Doctor?

During the initial consultation, the andrology specialist takes a detailed medical history. This includes discussing the onset and duration of symptoms, current medications, chronic medical conditions, lifestyle habits, sexual health, and reproductive history.

A comprehensive physical examination is then performed. Depending on the patient's symptoms, additional tests may include hormone testing, semen analysis (spermiogram),penile Doppler ultrasound, scrotal ultrasound, blood tests, and, in some cases, genetic testing.

Based on the clinical evaluation and diagnostic findings, an individualized diagnosis and treatment plan is developed.

How Does an Andrology Doctor Treat Erectile Dysfunction?

The first step in treating erectile dysfunction is identifying the underlying cause.

Depending on the patient's condition, treatment options may include:

• Lifestyle modifications
• Oral medications (PDE5 inhibitors)
• Testosterone replacement therapy when indicated
• Low-Intensity Extracorporeal Shock Wave Therapy (Li-ESWT)
• Vacuum erection devices
• Penile injection therapy
• Platelet-Rich Plasma (PRP) and regenerative therapies for selected patients
• Penile prosthesis implantation

The primary goal is not only to restore erections but also to improve long-term sexual function and overall quality of life.

How Does an Andrology Doctor Evaluate Male Infertility?

Male factors contribute significantly to infertility among couples experiencing difficulty conceiving.

The evaluation begins with a detailed medical history and physical examination. A semen analysis is performed to assess sperm count, motility, and morphology. Hormone levels, including testosterone, FSH, LH, and prolactin, are evaluated, while conditions such as varicocele, infections, congenital abnormalities, and genetic disorders that may impair sperm production are investigated.

When necessary, scrotal ultrasound, advanced semen analysis, and genetic testing may also be recommended.

After reviewing all findings, the underlying cause of infertility is determined, and an individualized treatment plan is created. Treatment options may include medication, varicocele surgery, microsurgical sperm retrieval techniques (such as Micro-TESE),or assisted reproductive technologies (IVF/ICSI),depending on the patient's specific condition.

What Tests Does an Andrology Doctor Request?

The diagnostic tests recommended by an andrology specialist depend on each patient's symptoms and medical history.

Commonly requested tests include:

• Semen analysis (Spermiogram)
• Total and free testosterone
• Follicle-stimulating hormone (FSH)
• Luteinizing hormone (LH)
• Prolactin
• Estradiol
• Thyroid-stimulating hormone (TSH)
• Scrotal ultrasound
• Penile Doppler ultrasound
• Genetic testing
• Sperm DNA fragmentation tests
• Blood and urine tests

Not every patient requires all of these tests. The diagnostic evaluation is tailored to the individual's clinical needs.

What Is the Difference Between Andrology and Urology?

Urology is a broad medical specialty that focuses on diseases of the urinary tract in both men and women, as well as disorders of the male reproductive system.

Andrology, on the other hand, is a subspecialty of urology dedicated specifically to male reproductive health and male sexual dysfunction.

Patients experiencing erectile dysfunction, male infertility, testosterone deficiency, or penile disorders may benefit from consulting a urologist with specialized expertise in andrology.

What Treatments Does an Andrology Doctor Provide?

Depending on the diagnosis, an andrology specialist may offer a wide range of medical and surgical treatment options.

These may include:

• Medication therapy
• Testosterone replacement therapy
• Varicocele surgery
• Microsurgical procedures
• Vasectomy and vasectomy reversal
• Penile prosthesis surgery
• Low-Intensity Shock Wave Therapy (Li-ESWT)
• Vacuum erection therapy
• Penile injection therapy
• Microsurgical procedures for male infertility

The most appropriate treatment is selected based on the patient's age, overall health, diagnosis, and individual expectations.

How to Choose the Right Andrology Doctor

Choosing the right andrology specialist is an important factor in achieving successful treatment outcomes and long-term patient satisfaction.

The physician should be a qualified urologist with substantial experience in andrology. It is also important that they utilize modern diagnostic and treatment techniques, stay up to date with current scientific advances, and collaborate with other specialists—including endocrinologists, reproductive medicine specialists, radiologists, and mental health professionals—when necessary.

An experienced andrology specialist should carefully evaluate each patient's condition, develop a personalized treatment plan, clearly explain all available treatment options, and maintain open, transparent communication throughout the treatment process.

Accurate diagnosis, individualized treatment, and regular follow-up are essential for preserving male reproductive health, restoring sexual function, and achieving long-term treatment success.