Andrologist in Slavuta

What men see an andrologist for

Most often men come because of erections: they are weaker, fade quickly or do not happen when needed. There can be several causes. Erections often get worse because of blood vessel problems, diabetes, high blood pressure or cholesterol, smoking and excess weight, and also because of stress, tiredness or some medicines. Because erections depend on blood vessels, erection problems can appear several years before heart disease. That is why the andrologist looks at your overall health and refers you to a cardiologist if needed.

Other common reasons to come: premature ejaculation, difficulty conceiving, low male sex hormones (hypogonadism), prostatitis, age-related changes, excess weight and metabolic problems. These topics can feel awkward to talk about, but for an andrologist they are everyday concerns, and speaking openly helps find the cause faster. Everything you tell the doctor is covered by medical confidentiality.

With age, the andrologist also keeps an eye on the prostate: examines it, orders an ultrasound if needed and discusses with you whether a PSA (prostate-specific antigen) blood test makes sense. The European Association of Urology advises offering this test to men from 50, or from 45 if their father or brother had prostate cancer.

What happens at an andrology appointment

The doctor asks what is bothering you and for how long, about chronic conditions, surgeries, medicines, lifestyle and habits. Some questions are about your sex life, including whether you have had sexually transmitted infections. Bring the results of any previous tests and exams.

Then comes the exam, with a digital prostate exam if needed. To confirm the findings, the andrologist may order a prostate and scrotal ultrasound, urine tests or other tests. Urine tests and bacterial cultures are processed at the Diagnost-Lab laboratory at 32 Sobornosti St. If a couple cannot conceive, both partners are tested, ideally at the same time, and the doctor usually orders a semen analysis for the man.

If low testosterone is suspected, the blood test is taken in the morning on an empty stomach and repeated to confirm a low level. The diagnosis is made when a low hormone level comes with typical symptoms: lower sex drive, weaker erections, tiredness. Do not take testosterone products without tests: they suppress sperm production and are not suitable for men who want to have children.

Treatment and when to get emergency help

The andrologist chooses treatment after the tests. Often, medicines, lifestyle changes and follow-up visits are enough. For erection problems, besides medicines, the doctor will advise changing what affects them: stopping smoking, moving more, losing weight, keeping blood pressure and blood sugar under control. For premature ejaculation, behavioral techniques that the doctor explains and prescribed medicines help. Injections and IV drips, if needed, are given at the clinic’s day hospital at 3 Danyla Halytskoho St. If surgery cannot be avoided, the doctor will explain the options, and the clinic prefers minimally invasive methods.

Call an ambulance on 103 if an erection without arousal lasts more than 4 hours, you suddenly have severe pain in a testicle or swelling of the scrotum, or you cannot pass urine even though your bladder is full. These conditions need help within the first hours.

Why see an andrologist at Viva Clinic

The andrologist sees patients in Slavuta, so you do not need to travel to Kyiv, Lviv or Khmelnytskyi. Ultrasounds are done at the clinic, lab tests are processed at our own Diagnost-Lab laboratory, and visits are by appointment, with no waiting in line. For kidney, bladder or urination problems you can see a Viva Clinic urologist-andrologist. The andrology consultation is paid. If you have signed a declaration with a Viva Clinic family doctor, basic lab tests and an ECG are free for you.