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What an andrologist does

An andrologist is a doctor who specialises in male reproductive and sexual health. Andrology is usually practised by urologists, endocrinologists or physicians with additional training, and sexual medicine by doctors trained in sexual health. Many men delay seeking help because of embarrassment, but most male sexual and fertility problems are common and treatable, and they may signal other health conditions such as diabetes or heart disease.

Common reasons to consult

• Erectile dysfunction (difficulty getting or keeping an erection).
• Premature or delayed ejaculation, low sexual desire.
• Male infertility: low sperm count, poor motility, or no sperm.
• Low testosterone: fatigue, low desire, reduced muscle and mood changes.
• Varicocele, testicular pain, undescended testis or curvature of the penis.
• Questions about contraception, vasectomy and sexual health in diabetes or after surgery.

Evaluation

The doctor takes a confidential history and examines you. Tests can include semen analysis, testosterone, free testosterone, LH, FSH, prolactin, blood sugar, HbA1c, lipid profile and thyroid profile, and a scrotal Doppler ultrasound. Erectile dysfunction is often a warning sign of heart disease, so cardiovascular risk is checked.

Treatment

Treatment depends on the cause: lifestyle change (weight loss, exercise, stopping tobacco and limiting alcohol), counselling, medicines, hormone treatment when indeed deficient, varicocele surgery, assisted reproduction (IUI/IVF/ICSI) and other options. Be wary of unregulated "sex clinics", herbal products or injections that promise instant results; they can be unsafe.

Privacy, fees and choosing

Consultations are confidential. Fees commonly range from about ₹500 to ₹2,000 and may vary. Choose a qualified urologist, endocrinologist or sexual-medicine doctor, and consider an online consultation for privacy. Compare specialists and book on Lab Dekho.

Trusted References

This guide is original content informed by recognised medical and public-health sources. For further reading:

• NABH – hospital accreditation standards
• NABL – laboratory accreditation
• Ayushman Bharat PM-JAY
• Ministry of Health & Family Welfare
• Mayo Clinic – Patient care & health information
• Cleveland Clinic – Health Library
• WebMD – Health A–Z

Disclaimer: This guide is for general information and does not replace advice from a qualified doctor. Costs and fees are approximate and vary by provider. Institution names are given for orientation only; check current services and timings directly. In an emergency, call 108 or 112.