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  • Writer's pictureFabio Castiglione

What does andrologist do? When should I see an andrologist?

The answer could be obvious: because you have a problem or to try to prevent any problems due to human aging. When should I see an andrologist is a question that we dealt with, in part, in the article who is the Andrologist. Today we want to deal with the topic trying to explain what andrologist does and when I should see an andrologist .

What does andrologist do? When should I see an andrologist?

Understanding the importance of the Andrological examination for men would be useful and very important for all men and women. Unfortunately in UK there are many people who show reticence to this type of control and the reason is mainly due to the fact that while women are used to meeting the gynecologist every year since childhood, the male generally does not go to the Andrologist except when it is strictly necessary, that is, in times of need.

Basically there is no male health culture, which if it were set from an early age, in terms of prevention and education of one's body, would benefit future men by drastically reducing the problems.

A fear born of a prejudice

Why do you go to the Andrologist

The lack of knowledge of who the Andrologist is, what he does and above all what an Andrological visit involves creates fear and anxiety. The only image that the candidate for the visit can see is the physical examination or the prostate check.

Men are notoriously bad patients, compared to women, they often avoid going to the doctor or skip the directions they are advised. However, they also die five years earlier than women and live more years in poor health, with higher suicide rates. While efforts are being made to create awareness campaigns to make sure men go to the doctor, resilience is strong.

Experts say cultural and social barriers have led generations of men to view health disorders as a sign of weakness. Researchers say men are conditioned from an early age to avoid sharing emotions, feelings or stress.

"Men are connected to an idea of ​​masculinity for which we do not talk about problems with others, and if there is a problem it resolves itself!

Women have a much stronger record when it comes to regular care, because they are typically followed by pediatricians, then by the gynecologist and later by general practitioners. Men may not see another doctor after the pediatrician!

10 reasons to see an Andrologist

There are several reasons why men should consult with an Andrologist. We will indicate below a series of symptoms, if you recognize any that ails you, it is advisable to book a visit to the specialist. An Andrologist can correctly identify and diagnose the problem, determine the severity level, and provide treatment options. ATTENTION to remember: prevention is everything! The sooner a potential health problem is detected, the better the chances of treating it before it develops into something serious.

1) Erectile dysfunction: this is certainly an uncomfortable topic to deal with, but the Andrologist is the best person to talk to. Erectile dysfunction (ED), is the inability to reach or maintain an erect penis, affects sexual performance and intimacy, but can also reveal complications such as vascular disease, hypertension and kidney failure. While many men find it embarrassing to talk about this problem, it is important to evaluate and treat all underlying conditions as soon as possible.

2) Testicular Pain, Lumps, or Masses: When testicular pain is persistent and does not go away within two weeks, it's time to see a Urologist. Any masses, indurations or lumps on the testicles should be examined by a specialist. This is to prevent or rule out any possibility of testicular cancer. Fortunately, when diagnosed early, cancer found in the testicles is one of the most treatable cancers.

3) Abnormal prostate exam: Men over the age of 40 to 50 are advised to have an annual exam by the same doctor if possible. In this way, any changes can be monitored more closely and early diagnosis of prostate cancer is more likely. If small nodules or irregularities are detected

If this is not the case, a Urologist / Andrologist should be consulted to determine any potentially serious problems. Remember: when caught early, prostate cancer has a high cure rate.

4) Difficulty urinating: this is a disorder that can compromise the quality of life of those who suffer from it. It is generally caused by an enlarged prostate and is a common symptom of aging. Fortunately, this condition can be treated with medication to relieve symptoms or the prostate can be treated to help urinate.

5) Painful urination: Infections can occur in any part of the urinary tract, often caused by bacteria. A specialist can determine the cause of this infection and recommend targeted treatment.

6) Frequent urination or desire to urinate often: it is time to see a Urologist / Andrologist if incontinence (urine leakage) starts suddenly or if it interferes with your lifestyle. Urinary incontinence is quite common and can usually be successfully managed or treated.

7) An elevated level or a change in the level of prostate specific antigen (PSA): The PSA test is often used as a method to detect early stage prostate cancer. Typically, a very low level of PSA is found in the bloodstream. When there is a change or a higher level of PSA in the blood, a urologist can determine the cause.

8) Kidney abnormality: If your doctor finds anything unusual on X-rays, you should see a Urologist.

9) Infertility: 25% of infertility problems can be directly related to a male problem. If your partner is being evaluated, you should get a simultaneous evaluation from a Urologist.

10) Blood in the urine: This is a serious sign that needs immediate advice from a urologist, as it could be an early warning sign of bladder or kidney cancer. The intermittent presence of blood in the urine should also be reported to the doctor because it requires immediate attention. The examination by a Urologist includes urine tests, an X-ray or CT scan and a cystoscopy (using optical fibers to see inside the bladder).

11) Premature ejaculation


The Andrologist is a Urologist or an Endocrinologist specialized in the treatment of conditions relating to sexual dysfunction and fertility in males. As andrologists possess more experience in the male reproductive system, they are generally the most appropriate professionals to consult for patients with infertility and sexual dysfunction.

This specialization also treats different types of pathologies and interfaces with other specialists when there are health conditions such as: heart disease, hypertension or kidney failure; which can impair sexual function. They can also intervene in the context of in vitro fertilization, when reproductive or sexual ability is compromised, or perform vasectomies when reproductive capacity is no longer desired.

An advice

Dr. Fabio Castiglione is a Urologist and Andrologist in London. He is Director of the HolisticAndrology Clinic. At his centers, a therapeutic approach is used based on the most recent clinical studies, on the guidelines of international scientific societies of sexual medicine and on the extensive clinical experience of Dr. Castiglione.

HolisticAndrology,urology clinic in London, has always been at the forefront to improve the quality of life for all people suffering from Impotence. If you are interested and want more information, do not hesitate to contact us.

Contact HolisticAndrology, andrology clinic in London (tel. +44 (0) 7830398165) to book an andrological consultation with dr. Fabio Castiglione, Urologist London.

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