Andrology is a specialized branch of medicine that focuses on male reproductive health and urological issues. It is often considered the male counterpart to gynaecology, addressing conditions that affect men's reproductive organs, sexual health, and urinary systems. An andrologist is a medical expert trained to diagnose and treat these conditions, which can significantly impact a man's physical and emotional well-being.
Dr. Abhijit Gokhale, a highly experienced Urologist, Andrologist, and Urological Surgeon based in Shivajinagar, Pune, has been practising in this field for over 25 years. With an impressive academic background—earning his MBBS from B J Medical College, Pune in 1988, an MS in General Surgery in 1993, and a DNB in Urology/Genito-Urinary Surgery in 2000—Dr. Gokhale has become a trusted name for patients seeking expert care for male reproductive and urological health concerns. His practice at Sanjeevan Surgery in Pune reflects his dedication to providing comprehensive solutions for a wide range of conditions.
What Diseases Do Andrologists Treat?
Andrologists are specialists who diagnose and treat conditions related to the male reproductive system and associated urological issues. Below are some of the most common diseases treated by an andrologist:
1. Erectile Dysfunction (ED)
Erectile Dysfunction is one of the most common conditions treated by an andrologist. It refers to the inability to achieve or maintain an erection sufficient for sexual activity. ED can be caused by various factors, including:
Vascular issues (poor blood flow to the penis)
Hormonal imbalances (low testosterone levels)
Psychological factors (stress, anxiety, or depression)
Neurological disorders
Chronic illnesses like diabetes or hypertension
Treatment Options:
Oral medications such as PDE5 inhibitors (e.g., sildenafil or tadalafil)
Hormone replacement therapy if testosterone levels are low
Psychological counselling or therapy
Penile implants or vascular surgery in severe cases
Dr. Abhijit Gokhale offers tailored treatments for ED based on the underlying causes, ensuring that patients receive effective care.
2. Male Infertility
Male infertility accounts for nearly half of all infertility cases in couples trying to conceive. It can result from various factors such as:
Low sperm count
Poor sperm motility or morphology
Obstructions in the reproductive tract (e.g., vas deferens blockages)
Hormonal imbalances
Genetic disorders
Evaluation:
An andrologist typically conducts a thorough evaluation that includes:
Semen analysis
Hormonal testing
Imaging studies like scrotal ultrasound
Treatment Options:
Medications or hormonal therapy to improve sperm production
Surgical procedures like varicocele repair or vasectomy reversal
Assisted reproductive techniques such as Intracytoplasmic Sperm Injection (ICSI) or In Vitro Fertilization (IVF)
Dr. Gokhale specializes in diagnosing and treating male infertility, helping couples achieve their dream of parenthood.
3. Prostate Disorders :
The prostate gland plays a crucial role in male reproductive health, but it is also prone to various disorders, especially as men age. Common prostate-related conditions include:
a) Benign Prostatic Hyperplasia (BPH):
BPH is the non-cancerous enlargement of the prostate gland that can lead to urinary symptoms such as frequent urination, weak urine flow, or difficulty emptying the bladder.
b) Prostatitis:
This refers to inflammation of the prostate gland, which may cause pain during urination or ejaculation.
c) Prostate Cancer:
Prostate cancer is one of the most common cancers in men. Early detection through PSA (Prostate-Specific Antigen) testing can improve outcomes.
Treatment Options:
For BPH:
Medications such as alpha-blockers or 5-alpha reductase inhibitors
Minimally invasive procedures like Transurethral Resection of the Prostate (TURP)
For Prostatitis:
Antibiotics for bacterial infections
Anti-inflammatory medications
For Prostate Cancer:
Surgery (prostatectomy)
Radiation therapy or hormone therapy
Dr. Gokhale provides expert care for prostate disorders using advanced diagnostic tools and personalized treatment plans.
4. Varicocele :
A varicocele is an enlargement of veins within the scrotum that can lead to reduced sperm production and testicular pain. It is one of the leading causes of male infertility.
Symptoms:
A dull ache or discomfort in the scrotum
Visible or palpable enlarged veins
Testicular atrophy (shrinking)
Treatment Options:
Surgical correction through varicocelectomy is often recommended to improve fertility outcomes and alleviate symptoms.
As an experienced surgeon, Dr. Gokhale performs varicocelectomy with precision to ensure optimal results for his patients.
5. Hypogonadism (Low Testosterone):
Hypogonadism occurs when the body produces insufficient amounts of testosterone, which can affect sexual function, energy levels, muscle mass, and mood.
Causes:
Ageing
Pituitary gland disorders
Testicular injury or disease
Symptoms:
Decreased libido
Erectile dysfunction
Fatigue
Loss of muscle mass
Treatment Options:
Testosterone Replacement Therapy (TRT) is commonly used to restore normal hormone levels and alleviate symptoms.
Dr. Gokhale carefully evaluates each patient’s condition before recommending TRT to ensure safety and effectiveness.
6. Premature Ejaculation (PE):
Premature ejaculation is another common sexual dysfunction treated by an andrologist. It refers to ejaculation that occurs sooner than desired during sexual activity.
Causes:
PE can be caused by psychological factors like performance anxiety or physical factors such as hypersensitivity.
Treatment Options:
Behavioural therapy, topical anaesthetics, oral medications like SSRIs (Selective Serotonin Reuptake Inhibitors), or counselling are effective approaches.
Dr. Gokhale adopts a holistic approach to address both physical and psychological aspects of PE.
7. Peyronie’s Disease
Peyronie’s disease involves the development of fibrous scar tissue inside the penis, leading to curvature during erections that may cause pain or difficulty with intercourse.
Treatment Options:
Non-surgical options include medications like collagenase injections to break down scar tissue. In severe cases, surgical correction may be required.
Conclusion :
Men's reproductive health often remains an overlooked area due to societal stigma or lack of awareness about available treatments. However, conditions like erectile dysfunction, male infertility, prostate disorders, hypogonadism, varicocele, premature ejaculation, and Peyronie’s disease can significantly impact the quality of life if left untreated.
Men should not shy away from discussing their health concerns with an andrologist; early diagnosis and treatment can lead to improved sexual health and overall well-being. In Pune, numerous skilled professionals are ready to provide the necessary support and care for those facing reproductive health challenges. If you or someone you know is dealing with male reproductive health issues, consider reaching out to an experienced andrologist in Pune today for a consultation.
