Urologist or Andrologist in London: Which Specialist Should You See?
Erectile dysfunction, testosterone concerns, male fertility or penile curvature? Understand where to start, which investigations may help and when specialist advice is appropriate.
When something changes with your sexual or reproductive health, choosing the right specialist can be confusing. Urology and andrology overlap, but they are not identical. This guide explains the difference and helps you prepare for an informed conversation about your symptoms and options.
Urology vs Andrology: What’s the Difference?
Urology
Urologists assess conditions affecting the urinary tract and male reproductive system, including bladder, prostate, kidney, testicular and penile problems.
What happens at a private urology appointment? →Andrology
Andrology focuses on male fertility, erectile function, penile conditions and related reproductive or hormonal concerns. Many andrology specialists are urologists with additional expertise.
Explore MDC’s andrology services →What Is Your Main Men’s Health Concern?
Tap each card to discover which assessment may be appropriate. These cards are educational, not diagnostic.
Tap a card again to return to the front.
Which Specialist Might Help With Your Symptoms?
| Your Concern | Typical Starting Point | Possible Next Step |
|---|---|---|
| Persistent erection difficulties | Urologist or andrology specialist | Medical history, cardiovascular risk assessment and selected investigations |
| Low libido or suspected hormone deficiency | Appropriate medical assessment | Targeted hormone testing where indicated |
| Difficulty conceiving | Male fertility or andrology assessment | Semen analysis and further assessment |
| Penile curvature or discomfort | Urologist experienced in penile conditions | Specialist examination and management discussion |
| Urinary or prostate symptoms | Urology or initial medical assessment | Symptom-led testing and review |
When Should You Seek Help for Erectile Dysfunction?
Occasional erection difficulties are common. Persistent or recurrent problems, particularly a new change, are worth discussing with a clinician.
Possible contributing factors include:
- Cardiovascular or circulation-related conditions
- Diabetes and metabolic conditions
- Medication side effects
- Hormonal problems in some patients
- Stress, anxiety or relationship difficulties
- Neurological conditions
What Tests Might Be Recommended?
Depending on symptoms and medical history, a clinician may consider testosterone, HbA1c or glucose, cholesterol and selected additional hormone investigations. These are not a universal testing package.
What About Shockwave Therapy for ED?
Low-intensity extracorporeal shockwave therapy uses acoustic waves applied externally to penile tissue.
Some research suggests modest improvements for selected men, particularly in certain vasculogenic erectile dysfunction populations. However, evidence varies and lasting benefit is not guaranteed.
Shockwave therapy is not suitable for every cause of erectile dysfunction and should not be presented as a guaranteed cure or replacement for established treatments. Individual suitability assessment is important.
Explore MDC Shockwave Therapy →Can an Andrologist Help With Male Fertility?
Yes. Male fertility assessment may consider sperm production and function, reproductive anatomy, hormonal factors, medical history and lifestyle.
Semen analysis can be an important first investigation, with further testing recommended where appropriate. One abnormal semen result does not automatically mean infertility, and a normal result does not guarantee conception.
Find out about andrology assessment at MDC →What Happens at a Private Appointment?
Discuss Your Symptoms
Explain what has changed, when it started and what concerns you most.
Review Your History
Discuss medical conditions, medication and previous tests or treatments.
Agree Investigations
Examination or testing may be recommended when clinically appropriate.
Plan the Next Steps
Understand treatment options, costs, follow-up and specialist recommendations.
For further information, read what to expect at a private urology appointment and our guide to 20 questions to ask your private urologist .
Quick Answers: Frequently Asked Questions
Is an andrologist the same as a urologist?
No. Urology is broader, while andrology focuses on male sexual and reproductive health. Many clinicians practise in both areas.
Does erectile dysfunction always mean low testosterone?
No. Testosterone deficiency is only one possible contributor. Vascular, metabolic, medication-related and psychological factors may also be involved.
Should I test testosterone before seeing a specialist?
Not necessarily. Your clinician may recommend appropriately timed morning testing based on your symptoms and medical history.
Can shockwave therapy permanently cure ED?
A permanent cure cannot be promised. Some selected patients may experience improvement, but treatment response and durability vary.
Can I contact MDC without a GP referral?
You can contact MDC directly to enquire about private assessment. The team can confirm any appointment-specific referral requirements.
Can MDC arrange testing and specialist advice?
MDC offers relevant diagnostic services and can help patients enquire about specialist pathways. Confirm exact services, fees and availability with the team.
Find MDC on Baker Street, London
Marylebone Diagnostic Centre
73 Baker Street, London W1U 6RD
Telephone:
020 7724 0540
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Take the Next Step With Confidence
Whether you are concerned about erectile dysfunction, male fertility, testosterone symptoms or penile health, understanding the cause comes before choosing treatment.
Contact Marylebone Diagnostic Centre to discuss appropriate testing and specialist appointment options.
Consultations, tests and treatments may carry separate charges. Confirm suitability, fees and availability before booking.
Clinical Information and References
- NHS: Erectile Dysfunction
- NHS: Infertility
- European Association of Urology: Sexual and Reproductive Health Guidelines
- NHS: Peyronie’s Disease
This article provides general medical information, not an individual diagnosis or treatment recommendation. Sudden severe testicular pain, inability to pass urine or other acute symptoms require urgent medical assessment.
