Andrology is a branch of medicine that deals with male fertility, genital health, and hormonal balance. Andrology focuses, for example, on assessing sperm quality, testosterone disorders, and the diagnosis and treatment of causes of male infertility.
All too often, the assessment of male fertility is limited to a semen analysis. With modern diagnostic tools, it is possible to examine male fertility and potential disorders much more thoroughly. In the best-case scenario, the problem can be resolved without the need for additional fertility treatment to achieve pregnancy.
However, in a significant number of cases, the cause of male infertility remains unclear.
Andrology lies at the intersection of several specialties—some areas fall under endocrinology, some under urology, and some under reproductive medicine.
At Ovumia, we primarily offer consultations on male fertility and hormonal function, and provide the necessary diagnostics and treatment specifically focused on men’s reproductive health.
If there are diseases of the male reproductive organs (e.g., enlarged prostate, urinary difficulties), the primary specialist is a urologist.
For male fertility evaluations, we offer specialized care led by andrologist Dr. Kristjan Pomm.
During the consultation, the andrologist will perform a brief physical examination to assess the condition and function of the testicles. The doctor will palpate the size of the testicles and the surrounding structures, such as the epididymis, vas deferens, and any varicoceles. The examination is usually quick and painless.
If sperm quality is very poor (concentration <3 million/ml) or has deteriorated rapidly, further tests are often necessary:
Yes. Testosterone replacement therapy and anabolic steroids can severely reduce sperm production, sometimes to zero. We specialize in treating post-testosterone infertility.
We address erectile dysfunction specifically in the context of fertility and hormonal health. For general urinary or prostate issues, a urologist is the primary specialist, but we can help assess if hormonal imbalances are the cause.
This is called azoospermia. It does not always mean you cannot have biological children. We can investigate if sperm can be retrieved directly from the testicular tissue (TESE) or if hormonal treatment can restore production.
