Girls have a gynecologist and men. A gynecologist surgeon about a naked female body, infertility and why he never treats his wife. What you need to know about a urologist

Not all men know which specialist to entrust their intimate health to. Many people ask the question: is there a "gynecologist" for men?

Ignorance in this matter leads to the fact that representatives of the strong half of humanity postpone visiting a specialist, and in the meantime, the symptoms increase and the disease enters the stage of neglect. Diseases of the genitourinary system should not be treated indifferently, as well as problems of a sexual nature.

What does urology do?

The male doctor is called a urologist. This is the doctor most people have heard of. Not everyone fully understands what he treats and what issues he deals with. But everyone needs to know about it.

They come to the urologist for an appointment if there are such unpleasant signs:

  • painful urination;
  • Burning during urination;
  • Blood is found in the urine;
  • Very often you want to go to the toilet "in a small way";
  • Lower back pain;
  • Unable to hold urine.

This male doctor treats diseases associated with problems:

  • urethra;
  • Kidney;
  • Ureters;
  • prostate gland.

Urology is based on mixed sciences. This includes pediatrics, urology, and andrology. In addition, this medical direction is divided into several more currents. Children are treated by a pediatric urologist, women by a female urologist, and men by a male urologist. Among themselves, these specialists differ only in the sex of patients.

As for male urology, this area is also called andrology. This branch of medicine deals with issues that relate exclusively to the health of men and their sexual life. Andrologist deals with the treatment of infertility, prostatitis, as well as urolithiasis, inflammation Bladder and sexually transmitted infections: chlamydia, genital herpes, ureaplasmosis.

But you need to know that such a specialist as a urologist treats not only men, but also women. But andrology, as a separate area, has specifics aimed exclusively at men. If the patient's sexual organ suffers, the doctor will definitely pay attention to this and prescribe the appropriate treatment.

When to visit a doctor?

You need to know the cases in which you should not postpone a visit to the urologist:

  • If the bladder seems to be full, but urination does not occur;
  • If discomfort is felt during urination, pain is noted;
  • If urination is intermittent, with delays, the direction of the urine stream is weakened;
  • Disturbed by pain in the lower abdomen;
  • Urine has changed its color or consistency;
  • If urine is excreted with impurities (blood, pus, mucus).

With these signs, the patient's body temperature may rise, the general condition is dejected, irritability appears, appetite disappears. It is also worth visiting a specialist if the penis has changed, a curvature has appeared, or the organ has another defect. If you are concerned about changes in erection, ejaculation, you do not need to postpone visiting a specialist.

If you hope that you can recover without the help of a doctor, this is a big delusion. It is not worth risking men's health. A urologist or andrologist has dozens of visitors a day, his goal is to help the patient and eliminate the disease. Also, if you treat the disease yourself, there is a risk that the disease will go into a chronic stage, and this threatens with serious consequences.

If the urinary tract infection has affected the internal organs (kidneys, ureters), it will be more difficult to treat the disease. This can be reflected in impotence, infertility, frigidity, cancer.

How to understand where you can find a good urologist?

If there are symptoms, you need to quickly go to a specialist. But many do not know which specialist to choose, because they want to find the best. Recommendations will help you choose a good doctor.

The main problem is that not everyone is ready to speak out loud about what is happening with intimate health. In this case, you can visit a paid clinic. Typically a male doctor paid clinic very delicate and values ​​his reputation. In such institutions, as a rule, the best specialists work. They are invited from outside only on positive reviews.

What do you need to know about a urologist?

To opt for the best specialist, you need to find out if this male doctor has work experience. It is desirable that you have several years of relevant practice behind you. Then the doctor is more selective in diagnoses, symptoms and the correct treatment will not keep you waiting. Such people, as a rule, strive for new knowledge, they want to improve, because they have already seen and know a lot. A good male doctor will not prescribe treatment based only on what the patient complains about. The specialist will ask for a long time and in detail about the symptoms, prescribe tests, and only then will be able to tell about the diagnosis.

A good doctor always takes into account that such signs may indicate the development of a tumor in the prostate gland, so he insists on special examinations. This does not happen in every case, but only if there are some suspicions. All this will have a very favorable effect on the health of a man, because to detect a disease on early stages and it is much easier to cure it than when irreversible processes appeared in the body.

When the urologist knows the exact diagnosis of the patient, he will opt for the entire spectrum of therapies. A good doctor will always tell you about preventive measures in relation to certain diseases. Urologists are specialists in the sexual field. If a male doctor finds inflammation, he will prescribe tests for the presence of genital infections.

A professional doctor is oriented in such a direction of medicine as sexopathology. After all, problems with genitourinary system directly related to the sexual activity of the patient. A specialist in his field is someone who will never take information out of the office.

It is known that women with the appearance of symptoms and illness in the intimate sphere turn to a gynecologist. But few people know who to contact a man with similar problems. What is the name of the male doctor? What diseases does he treat?

Diseases of the urinary system and genital organs in men are treated by two doctors: an andrologist and a urologist. Andrologist primarily specializes in the diagnosis and treatment of sexual dysfunction, erection problems and other inflammatory processes genitals. A urologist treats diseases of the urinary system. Men can also turn to a dermatovenereologist who specializes in genital infections.

Specialization of doctors

Most often, men turn to a urologist with their intimate problems. Although it is impossible to call him an exclusively male doctor, because the fair sex can also turn to him. A urologist specializes in diseases of the urinary tract and the genital area. Women turn to him most often with kidney ailments and problematic bladder, and for other intimate issues go to the gynecologist. But since in men the urinary and reproductive systems are closely related, the urologist deals with both. This doctor is responsible for both systems of the male body.

An andrologist is already considered a narrower specialist, because he treats only men. This specialty appeared relatively recently. Andrologists treat a huge range of diseases and perform the function of a urologist, sexologist, endocrinologist, urologist and even a psychologist for a man. It is to these doctors that both very young boys and elderly men go to be treated. Andrologist at the same time specializes in the following medical fields:

  • Neurology
  • Venereology
  • Sexology
  • Urology

Diseases treated by an andrologist

First of all, this specialist is contacted for lesions of the genital organ. The symptoms are quite different. It can be severe pain in the groin and perineum, burning during urination, pain in the lower abdomen and testicles, redness and the appearance of growths on the skin in the intimate area. It is also worth contacting an andrologist if there is discomfort during urination, incomplete emptying of the bladder, difficulty urinating. In addition, the doctor is responsible for issues of premature ejaculation, weak or absent erection, hypogonadism, scrotal pathology, prostatitis, and male menopause.

Andrologist consultation is required for the following symptoms:

  • Erectile dysfunction
  • Pathologies of the reproductive function
  • Impaired secretion of male sex hormones
  • Micropenis and other abnormalities
  • All kinds of anomalies, in which there are no testicles, prostate gland, scrotum and other appendages
  • Pathologies in which the testicle does not descend correctly or does not descend into the scrotum at all
  • Gynecomastia
  • Ejaculation and libido disorders
  • Increase in prolactin levels
  • Male menopause, which is manifested by less testosterone production, erectile dysfunction, severe exhaustion of the body
  • Endocrine pathologies
  • Cancers in the pelvis
  • Inflammation of the head of the penis and foreskin
  • Inflammation of the tissues of the testicles and their appendages
  • Urethritis of various origins
  • Prostate diseases
  • Sustained and long-term definition by a man of himself as a woman without mental reasons for this and violations of the sexual sphere

How is the appointment with the doctor?

An appointment with an andrologist and a urologist if a disease of the genital organs is suspected will take place as follows:

  • The patient's consultation begins with a survey. The doctor asks urgent questions, clarifies the patient's complaints. It is very important not to be shy and to answer as detailed and truthful as possible.
  • Examination of the male genital organ. Andrologist or urologist examines the penis, diagnoses the presence of discharge and abnormal appearance
  • If infertility is suspected, information about the sexual partner is also required

After that, a diagnosis is made, and the male gynecologist prescribes medical or surgical treatment with further monitoring of the patient.

(a kind of gynecological specialist) conduct pregnancy and childbirth.


For men, the situation is reversed. An andrologist treats exclusively pathologies of the reproductive system, and a urologist deals with diseases of the urinary tract. Knowing that a gynecologist for men is called either an andrologist or a urologist is necessary to select the right specialist when a certain clinical picture appears.

Field of activity of an andrologist

The closest to the definition of a male gynecologist is an andrological doctor. His practice includes the following types of pathologies:

  • all variants of male infertility;
  • genetic diseases of the genital organs;
  • pathological processes in the prostate gland;
  • decrease or absence of erectile function of any origin;
  • genital trauma;
  • childhood and adolescent diseases of the penis, in particular phimosis and paraphimosis;
  • inflammatory diseases of the reproductive system, in particular venereal pathologies.

For men, an andrological doctor is a highly specialized specialist. You should contact him if there are signs of a fruitless marriage, erectile dysfunction and sexual intercourse, pain in the penis and changes in appearance. It is also recommended to consult the male equivalent of a gynecologist for children with no secondary sexual characteristics, effeminate appearance. Typically, genetic diseases are detected in early age, but some of them manifest only during puberty.

Field of activity of the urologist

The urinary tract is treated in women by a gynecologist, and in men by a urologist. This specialist, unlike the andrologist, deals with the problems of not only the male, but also the female urinary system. Patients can contact this specialist if they have the following problems:

  • signs of sexually transmitted infections (discharge from the urethra, subjective complaints, symptoms of inflammation, and so on);
  • inflammatory processes at any stage of the urinary tract (for example, thrush, that is, vaginal candidiasis, can also bother men, being localized on the glans penis);
  • pyelonephritis and glomerulonephritis;
  • inflammatory processes in the bladder;
  • traumatic injuries of the urinary tract;
  • urolithiasis.

The urologist is engaged not only in therapeutic, but also in surgical activities in men. An exclusively conservative nephrological doctor practices next to him, who treats the listed pathologies without surgical intervention. The name of the doctor who deals with kidney transplantation is highlighted separately - transplantologist.

There are also specially trained doctors who deal with hemodialysis for patients with decompensated renal failure.


Men should understand the doctors replacing the female gynecologist, in order to know where to turn if there are any problems with the genitourinary system. Most often, the initial point of contact should be a therapist who, after a preliminary examination, will refer the patient to the right doctor.

From youth to old age, every man and woman should be observed by doctors. If a woman, in the presence of problems, turns to a gynecologist, then who is a male doctor?

Who treats various diseases of the genital area and infertility?

Who can solve various men's problems?

And is it necessary to go to such a doctor?

It is imperative to know the answers to these questions so that later you do not decide who to tell about the symptoms and ask for help.

Men's problems

A urologist diagnoses and treats diseases of the genitourinary organs.

An andrologist is a urologist who treats and diagnoses urethritis, varicocele, prostatitis, sexual disorders and other diseases. If there are no problems with inflammation of the kidneys, then you can simply turn to an andrologist.

In addition, the andrologist understands endocrinological diseases, sexual disorders and valeology. Conducts ultrasound examinations and performs operations on any of the urinary organs except the kidneys.

Profession similarity:

  • Both physicians are surgeons;
  • Both deal with diseases of the genitourinary sphere of men;
  • Any of them can make a diagnosis and perform an operation.

Specialty difference:

  • A urologist treats and diagnoses both men and women, while an andrologist deals only with men.
  • The urologist is more responsible for diseases of the urogenital sulfur, and the andrologist for his viability in bed.
  • The urologist is an extended medical specialization, and the andrologist is a narrow direction.

Preventive examination

When a man goes to see a doctor, they usually ask questions about personal problems. Are there any disturbing symptoms, whether urological diseases have been transferred, whether the patient has any chronic forms.

An external examination of the genital organs is carried out. The shape and size of the genital organs are specified, a rectal examination of the prostate can be performed.

In addition, analyzes and various laboratory studies are carried out:

  • Analysis of urine and blood;
  • The level of testosterone in the blood;
  • Analysis of prostate secretion;
  • ejaculate analysis;
  • If cancer is suspected, tumor markers are prescribed;
  • With complaints of infertility - surrenders;
  • In addition, tests for sexually transmitted infections (HIV, AIDS, gonorrhea, syphilis, and so on) can be prescribed.

The appointment of tests will depend on the reason for the patient's request, his age and health complaints.

After 40 years, it is advisable to be examined at least 2 times a year, since prostatitis and other diseases in the male part in Lately drastically rejuvenated.

Pediatric urologist - andrologist

Patients under the age of 18 are invited to visit a pediatric andrologist-urologist for examination. It treats various disorders of a physiological, endocrine, psychosexual nature. If necessary, the doctor performs surgery.

Boys are observed for the following problems:

  • Various bulges and formations in the scrotum area;
  • Undescended testicle;
  • Incorrect location of the urethra;
  • Non-opening glans penis;
  • Overweight and as a result, a violation of the production of hormones;
  • Enuresis older than 4 years;
  • Pain or difficulty urinating;
  • Pain in the groin;
  • Big difference in testicle size.

With a timely correct diagnosis, various problems in the future can be avoided. In addition, an andrologist can be sent to an andrologist after a disease suffered by a boy (for example, mumps).

So that later in adulthood a man does not encounter problems unresolved in childhood, timely examination and, if necessary, treatment of various problems of the genitourinary system is necessary.

For full male health and prevention of various diseases and abnormalities in the urogenital area, do not forget to visit a male doctor. The disease is always easier to prevent than to treat later.

For many women, a gynecologist and going to him is a kind of taboo that you can’t talk about out loud, but only in a whisper, and even then alone with your friends. And if, God forbid, you managed to get to a male gynecologist, everything, consider it lost - not every woman can tell frankly about her problems to such a specialist. Meanwhile, for the fair sex, a gynecologist is almost the most important doctor. There is nothing more important to a woman than her women Health. We were convinced of this by talking with a gynecological surgeon. Although anonymously, he frankly spoke about why women from the regions have the most "women's problems", why you need to think before deciding on IVF, which is now popular, what it is like to tell a 17-year-old girl that she will never will have children, and why he has not reacted to a naked female body for a long time and never treats his own wife.

Many surgeons go gray early. Perhaps this is due to nervous and mental stress: night shifts, the need to quickly make a decision, unusual operations. The body of the operating doctor is in a long forced position, the surgeon has to strain his eyesight, tactile sensations, and hearing. The effect of anesthetic drugs, which are concentrated in the air, also causes harm. At the same time, a successful operation gives a certain emotional charge, incomparable with anything else!

Sometimes the result of the operation is like a sentence, although I believe that if a person managed to save a life he always has a future. Before discharge, I am obliged to conduct a conversation with the patient and explain in an accessible way what the consequences are. surgical intervention. For example, you had to report the results of a histological examination that revealed cancer, or tell a seventeen-year-old girl who came to us too late that she could never become pregnant. The reaction to such news usually does not appear immediately: a person listens to the doctor calmly, without emotions. Experiences and suffering begin later, therefore I believe that such patients after discharge definitely need psychological help.

Some people think that surgeons just cut something off., but sometimes surgery is the only way to preserve and improve the quality of life of the patient. I remember a patient who for many years complained of heavy bleeding on critical days, because of which she suffered greatly. The local gynecologist literally tortured the woman with referrals for an ultrasound scan, which showed nothing, and for some reason did not prescribe a deeper examination - an x-ray - and did not send the woman to the hospital. Yes, the patient had normal hemoglobin, but that was only because she was taking iron supplements. Finally, driven to hysterics by accusations that she was faking, the woman nevertheless came to us, where she had an X-ray, which showed that she had long needed surgical intervention.

Before the operation, I told this woman: "For some, removal of the uterus is fraught with psychological problems." And the patient replied: “Doctor, cut it out at last - I will feel like the happiest person in the world!” And so it happened: a year later she came to us with two cakes, thanks and a story about how much her life had changed after she got rid of her problem. Moreover, before the operation, she managed to give birth to a child. By the way, in the vast majority of cases, the removal of the uterus does not affect the sexual life, and even more so appearance women, which many of them are so afraid of.

Dear women, if you feel an incomprehensible malaise, do not ask advice from friends, do not look for a diagnosis on the Internet! So, one patient, suffering from severe pain in the lower abdomen, but terribly afraid of the hospital, took every day for a week hot bath! When she became very ill, she still called ambulance. The patient was found to have a purulent tumor in the appendages: a few more hours of delay, and the woman would have died. There are many cases of unsuccessful use of traditional medicines.

Sometimes the representatives of the weaker sex, in my opinion, literally mock their bodies. I mean not only abortions, but ... the desire for childbearing! Once upon a time, a patient with a missed pregnancy came to us over and over again. That is, she could become pregnant, but after a while the fetus inside died. She had complex hormonal problems. Of course, you need to have the character to endlessly repeat the attempt to have a baby, and yet I wanted to tell her: “Your women's health is more important. Dedicate your life to something else. A lot of couples are happy without children.”

You can never be a fanatic in anything, including the desire to acquire offspring. Now IVF is popular, but it is an expensive method, and the result is far from possible on the first try. In addition, IVF is fraught with complications due to ovarian hyperstimulation by hormones: accumulation of fluid in abdominal cavity when a woman experiences certain torments, increased blood clotting and even much more dangerous side effects. In no way am I calling for abandoning such methods, but I suggest that you seriously think about what it is sometimes worth.

The human body surprises both in a bad and in a good way.. It happens during ectopic pregnancy the egg is attached to the intestines and even to the liver, and you have to look for it! And it happens that women carry and give birth with huge intrauterine nodes!

A woman needs to take care of herself, regardless of what her life partner thinks about it.. Men have a different physiology and psychology, some women's problems are incomprehensible, and often the stronger sex simply does not want to delve into them. In general, in last years with the education of the population it has become better, although the health of women from the regions is still very neglected, and this has been a problem for many decades. They still do a lot of abortions there, the trouble is with routine examinations.

Regarding the topic of weight lifting, I want to say: “Dear ladies! Do not do that. That's what men are for." female body unique and complex, he is able to carry a lot, but he is not adapted to carry heavy things. Because of this, many patients suffer from uterine prolapse and are forced to agree to surgery. Most often this is a problem of trade workers who have to carry boxes of goods, as well as older women. By the way, age is not always an obstacle to surgical intervention. It happened that women over eighty lay down on the table, and nothing, they were alive.

Many people are interested in how I feel about women. In the hospital - only as a patient. There, I do not react at all to the female body, like an ordinary man. It happens that when viewed from a woman, they are embarrassed, but they try not to show it. As for the question of who are the best gynecological surgeons, men or women, in my opinion, this does not depend much on gender. Each has its own advantages. True, I want to note that a strong passion for the profession and heavy workloads can cost a female surgeon her personal life. This usually doesn't happen with men.

I had to learn from patients curious versions about my personal life. One day my wife came to work for me. Waited for me at the entrance, and we went together. Most inpatients like to look out the window. The next day, walking along the corridor of the hospital, I heard: “Yesterday we saw him with his wife. They envied: everything is surely repaired there! ” You know, I don't "fix" my wife. If some deadly danger happened, then yes, otherwise I’d better entrust it to a colleague whom I know well. My wife is a beloved woman, not a patient. I don’t want to talk about work with her, and not because I see female organs almost every day. It happens that you yourself are tormented, you get tired, so still shift to loved one? At the same time, the wife of a doctor should be aware of the burden on her husband and understand the peculiarities of his profession.

About students. Some surgeons do not like it when future doctors are brought into the operating room. But this is our shift! Unfortunately, I heard that hours of studying, for example, anatomy are being reduced: is this not a loss to the quality of a doctor's training? And this is not the fault of the teachers, but all sorts of “reforms” of education, invented by officials who are far from medicine, who have no time to do something useful.

Finally, I will turn to men: be more attentive to the companions of your life, do not harass a woman if she cannot give birth to a child, because in this case your lazy spermatozoa may also be to blame, and if she complains of abdominal pain, do not brush it off, but call an ambulance. After surgery for female organs in no case do not let her lift weights: internal seams may disperse. Let women come to us as rarely as possible!