Urology · Clinical andrology
Urology & andrology consultations
Andrology is the field devoted to men's health: hormones, fertility and sexual function. I am a certified clinical andrologist (PTA) - during the consultation I carry out full diagnostics and plan your treatment.
Book a consultation(opens in a new tab)What an andrologist does
An andrologist diagnoses and treats disorders of the male reproductive system - primarily hormonal deficiencies, erectile dysfunction and male infertility. Clinical andrology brings together urology, endocrinology and reproductive medicine; a clinical andrologist is a physician who has obtained an additional certification in this field.
Late-onset hypogonadism - the "male menopause"
Late-onset hypogonadism (LOH) is a condition in which sex hormone levels decline in an ageing man. It leads to reduced libido and erectile dysfunction, as well as unfavourable metabolic changes: an increase in body fat, triglycerides and cholesterol, which raises the risk of cardiovascular disease.
Once the diagnosis is confirmed by tests, treatment mainly involves replacing testosterone - as an injection or gel - under regular medical supervision.
Male infertility
Fertility problems are common among men and are being diagnosed more and more often. I begin the work-up with a detailed medical history, an assessment of the semen analysis and hormone tests, a physical examination and an ultrasound. Treatment depends on the cause - it may be conservative (pharmacological) or surgical.
You will find more details on the Male infertility page.
Premature ejaculation
Premature ejaculation is defined as ejaculation that occurs within about a minute of the start of intercourse, or before it. The cause is most often psychogenic (disturbances in serotonin pathways), but infections of the urogenital tract can also be responsible - which is why a urological examination is always needed.
Treatment combines exercises that delay ejaculation, oral pharmacotherapy and topical anaesthetic gels.
Other areas
During consultations I also address erectile dysfunction and Peyronie's disease (penile curvature).
Online consultation
I do offer online consultations. You book them through the same calendar as an in-office visit - normally as an audio call, or video on request. It works well for going through test results, continuing treatment, monitoring testosterone therapy, or a second opinion before a procedure.
An online consultation does not replace a physical examination or an ultrasound. If you are raising a problem for the first time, I will usually suggest an in-office visit, where I perform imaging on site. You will find the fee in the price list.
What a visit looks like
Booking, what to bring, how the examination runs and what happens afterwards - described step by step on a separate page.
Watch: ask the urologist
I regularly answer patients' questions live - without taboo, in plain language. Watch one of the Q&A sessions (in Polish).
- Bedroom pitfalls - what you need to know, part 2 (in Polish)(opens in a new tab)
- All videos on the YouTube channel (in Polish)(opens in a new tab)
Short clip on TikTok (in Polish)
Frequently asked questions
How should I prepare for my first appointment?
Bring the results of any previous tests (blood, semen, ultrasound) and a list of the medications you take. We will plan the rest of the diagnostics together.
Is an ultrasound performed during the visit?
Yes - when needed, I perform an ultrasound of the urogenital system and the scrotum on site, during the consultation.
Is testosterone treatment safe?
Carried out correctly - after confirming the deficiency and with regular monitoring - it is a recognised treatment. It does, however, require qualification and medical supervision; it is not suitable for every patient.
Do you offer online consultations?
Yes. An online consultation is booked through the same calendar as an in-office visit. It is normally an audio call, or video on request. It does not replace a physical examination or an ultrasound, so for a new urological problem I usually suggest coming to the practice.
Written and medically reviewed by Michał Swolkień, MD - urologist (FEBU), clinical andrologist (PTA). Last reviewed: .
Next step
Book a qualification consultation
Whether your concern relates to hormones, fertility or sexual function - let's start with thorough diagnostics.
See available appointments(opens in a new tab)Andromeda Centrum Medyczne · ul. Mogilska 69A · Kraków