Urology, andrology and male fertility

Fertility is a shared process, and the study of the male factor is an essential part of reproductive diagnosis. In fact, approximately 40 to 50% of infertility cases have some component related to the male partner.

For this reason, a comprehensive fertility assessment must also include the male study, as identifying possible alterations can help guide treatment and optimise the chances of pregnancy.

Urology and andrology are the specialities responsible for evaluating male reproductive health, analysing aspects related to semen quality, hormonal alterations or conditions affecting the reproductive system.

At Viamed Fertility Institute, we work in coordination with male fertility specialists to offer a multidisciplinary, individualised approach adapted to each case.

What do urology and andrology study in fertility?

Andrology is the medical branch specialising in male reproductive health and forms part of the field of urology.

During the male fertility study, the specialist evaluates different factors that may influence a man’s reproductive capacity.

These include:

Semen quality

Sperm concentration and motility

Hormonal alterations

Varicocele

Infections

Anatomical alterations

Reproductive dysfunctions

Conditions affecting the male genital tract

The aim is to identify possible causes and assess whether there is any appropriate therapeutic option or reproductive strategy.

The male factor in infertility

Although infertility has traditionally been associated more frequently with women, we now know that the male factor has a very significant role.

For this reason, the study of the male partner should be carried out from the earliest stages of reproductive assessment.

An appropriate evaluation allows us to:

Detect possible treatable alterations

Identify factors that may influence semen quality

Guide fertility treatment

Determine whether complementary tests are necessary

The joint analysis of both partners allows for a more complete and efficient approach.

Semen quality and semen analysis

A semen analysis is usually one of the first tests performed in the study of male fertility.

This analysis evaluates different parameters related to semen and sperm cells, including:

Sperm concentration

Motility

Morphology

Seminal volume

Vitality

Alterations in any of these parameters do not necessarily imply infertility, but they may require a more detailed assessment by the andrology specialist.

Depending on the results, the study may be broadened with other diagnostic tests.

Varicocele and male fertility

Varicocele is a dilation of the veins of the spermatic cord and is one of the most common alterations in male fertility. In some patients, it may be related to changes in sperm production or in certain semen parameters. Assessment by urology makes it possible to determine:

The grade of the varicocele

Its possible clinical impact

The need for follow-up

Whether treatment is indicated

In certain cases, surgical procedures may be considered for correction.

Hormonal alterations and male infertility

Sperm production also depends on correct hormonal function. Certain endocrine alterations can influence:

Spermatogenesis

Testosterone production

Testicular function

Reproductive capacity

For this reason, the andrological study may be complemented by a hormonal assessment when there is clinical suspicion.

Azoospermia and testicular biopsy

Azoospermia is a situation in which no sperm cells are detected in the semen.

When this occurs, the specialist may broaden the study to determine the cause and assess the possible options available.

In certain cases, a testicular biopsy may be indicated. This is a procedure in which a small sample of testicular tissue is obtained to check for the presence of sperm cells.

When viable sperm cells are identified, they can later be used in assisted reproduction treatments such as in vitro fertilisation.

These procedures are performed by specialists in urology.

Treatments and approach to male fertility

The management of male infertility depends on the cause identified and the characteristics of each patient. Depending on the case, the following may be considered:

Medical treatments

Surgical procedures

Correction of hormonal alterations

Sperm retrieval techniques

Assisted reproduction treatments

The aim is to individualise the approach and optimise reproductive chances.

A multidisciplinary approach to the comprehensive study of infertility

Male fertility is an essential part of any complete reproductive study.

For this reason, at Viamed Fertility Institute we work in coordination between specialists in assisted reproduction, andrology, endocrinology and other medical areas in order to offer a global assessment.

This multidisciplinary model makes it possible to identify male factors, broaden the study when necessary and design strategies adapted to each clinical situation.

Frequently asked questions about urology, andrology and male fertility

Approximately 40 to 50% of cases have an associated male factor.

Andrology assesses male reproductive health, including semen quality, hormonal alterations and conditions affecting the reproductive system.

It is the absence of sperm cells in semen and requires specific assessment to determine its cause and possible treatment options.

It is a procedure in which testicular tissue is obtained to study the presence of sperm cells and assess their possible use in assisted reproduction.

In some cases, it may be related to semen alterations and require assessment by specialists in urology and andrology.

We are here to support you.
We are here to support you.

Dr. Pamela Valdivieso Mejía

gynaecologist and specialist in assisted reproduction

Dr. Silvia Valladares Jiménez

Specialist in Endocrinology and Nutrition

Dr. José Vilar

GYNAECOLOGIST

Ángeles Bretón

CLINICAL EMBRYOLOGIST

Dr. Carlos Javier Vega Reina

GYNAECOLOGIST

Dr. María Miró

IMMUNOLOGIST

Dr. María Eugenia Molina

HEMATOLOGIST

Elena Mantrana Bermejo

Gynecologist. Specialist in Reproductive Medicine

  • Degree in Medicine and Surgery from the University of Seville.
  • Specialty in Obstetrics and Gynecology at Hospital Universitario de Valme, Seville.
  • Master’s Degree in Human Reproduction from the Universidad Rey Juan Carlos.
  • Specialist Physician of the Andalusian Health Service in the South Health Management Area (AGSS) of Seville.
  • Coordinator of the Assisted Human Reproduction Unit of the Hospital Universitario de Valme, Seville.
  • Member of the Human Reproduction Advisory Committee of AGSS of Seville.
  • Member of the working group for the update of the Guide for Assisted Human Reproduction of the Ministry of Health of the Andalusian Regional Government.
  • Tutor of Specialist Doctors in Training of the Teaching Area of the University Hospital of Valme.
  • Clinical Tutor Medical Students University of Seville

Alberto Armijo

Gynecologist. Reproductive Medicine Specialist