Finally your family is set.
The door is closed and you are happily ever after.
One year later.
Time for a fertility check.
The wife books an appointment.
You both visit the OB/GYN.
The process starts rolling like a domino rally, one step following the other.
By the end of the road, and while much time have passed, sadly, things may have slowly progressed, and results are more or less ambiguous.
You question yourself …. WHY?
Let’s replay the scene one more time.
You both are visiting the OB/GYN clinic.
Let’s get things more into perspective, while in the waiting area, you may realise that you are the only male, its awkward… Huh.
True.
YOU as a MALE are not in the right place.
OB/GYN is a defined as: Obstetrics and Gynecology. Let’s check the Wikipedia definition: ‘Postgraduate training programs for both aspects are usually combined, preparing the practicing obstetrician-gynecologist to be adept at the care of female reproductive organs’ health and at the management of pregnancy, although many doctors go on to develop subspecialty interests in one field or the other.’
Unfortunately, the daily practice has some bias when it comes to reproductive medicine.
Over the years, fertility services have been operated by gynecologists, also known as Reproductive Endocrinologists (RE), and they happen to address the female fertility issues and to some extend the MALES.
While gynecologists are excellent female experts, having had their training focused on addressing diverse female reproductive concerns, yet, when it comes to the males, it is a whole different world, and urologists are the best to get the job done.
During urologic training and subsequent andrology sub-specialization, a urologist spends years of exposure to the vast majority of male genital and reproductive disorders, so when it comes to surgical correction of varicocele or blocked tubes, genital or urinary infections, or testicular sperm retrievals, urologist are the qualified medical practitioners to perform the task.
In specialized and professional centers over the world, the couple is usually sent for separate services for testing, the female is usually screened by a gynecologist and the male is usually evaluated by a urologist, and ultimately both teams communicate at the end to outline the best plan of therapy.
In other words, as the title of the popular book says ‘Men Are from Mars, Women Are from Venus’ the same applies to the world of fertility medicine.
When it comes to male infertility, urologists especially those with fellowship training in Andrology (the field of medicine that deals with male reproductive disorders) are the best to serve you in the battle against infertility.
At the end, be advised to have a thorough discussion with the designated healthcare professional and whenever feasible request a urology consultation to address your fertility concerns.