Andrology in Medellín
Men's sexual and reproductive health, with discretion and medical judgment
Male infertility, low testosterone and premature ejaculation are common reasons for a consultation that many men put off. MDE Care is not a clinic: we coordinate your assessment with the specialist, your tests and your stay in Medellín.
Confidential care
discreet at every step
Which work-up is right for you?
Choose the reason for your consultation and answer a few questions. We will show you what the medical criteria say about your case, the work-up path and what is usually requested first.
What is the reason for your consultation?
Your guidance
Answer the questions
Choose a reason and answer the questions to see the work-up path that is usually recommended.
* General guidance based on the reference values of the WHO laboratory manual (2021), the ADAM questionnaire, the American Urological Association (AUA) guideline on testosterone deficiency, the International Society for Sexual Medicine (ISSM) definition of premature ejaculation and MedlinePlus. It does not replace an assessment by the specialist. Your answers are not sent or stored.
How much an andrology consultation and its tests cost in Medellín
Choose the path and select the tests you do not have yet. We show you the price of each part and the estimated total.
Work-up path
Includes
Tests
Select what you do not have yet.
After the tests
Estimated total
Male fertility work-up
COP 275,000 to COP 280,000
* Estimated private-pay prices in Medellín, the sum of the components; confirmed when booking. The treatment is defined and quoted at the assessment with the specialist.
What is andrology?
Andrology is the branch of medicine that studies men's sexual and reproductive function. In practice it is carried out by urologists with additional training in male fertility, hormones and sexual health.
Consulting about these topics is as routine as a gynecological visit for women. The assessment begins with a conversation and a physical exam, and tests are requested according to the reason for the visit: not every man needs the same ones.
Urologist
Kidneys, bladder, prostate and urinary tract in men and women, as well as the male reproductive system. Stones, prostate, infections, incontinence and urological cancer.
Andrologist
A urologist dedicated to men's sexual and reproductive health: infertility, low testosterone, premature ejaculation and erectile dysfunction. Works hand in hand with the couple's fertility team.
In private care you can book the appointment directly: if your reason is sexual or reproductive, the andrology consultation is the right one.
Reasons for an andrology consultation
The topics on this page are covered here; those with their own page are summarized with a link.
Male infertility
Difficulty achieving a pregnancy with your partner. It is studied with a semen analysis, physical exam and hormones.
See the work-upLow testosterone
Less sexual desire, energy or strength, with low testosterone confirmed in the laboratory.
See how it is confirmedPremature ejaculation
Ejaculation that occurs sooner than desired, without control and with distress. It can be treated.
See the criteriaErectile dysfunction
Difficulty getting or keeping an erection. Its treatments and the penile prosthesis have their own page.
See the pageHow the andrology work-up is done
It moves step by step: each test is requested for a reason and the next one depends on the result.
Step 1
Consultation and medical history
Time trying to conceive, sexual life, medications, surgeries and history. It is done in private and confidentially.
Step 2
Physical exam
Testicles, epididymis and spermatic cord; this is where a palpable varicocele is detected.
Step 3
Semen analysis
The basic test for the male factor. If it is abnormal, it is repeated.
Step 4
Hormone panel
Total testosterone, FSH, LH and prolactin, taken in the morning, when the case calls for it.
Step 5
Targeted studies
Testicular ultrasound, semen culture, DNA fragmentation or genetic tests, only if the case requires it.
Preparing for the semen analysis
- 2 to 3 days without ejaculating, never more than 5
- Complete sample, in the sterile container from the laboratory
- Delivered within 30 minutes, at body temperature
A testicular ultrasound, from COP 100,000 to COP 190,000, can be done during the same visit.
How to read your semen analysis
Lower reference limits of the World Health Organization (2021). Below them, the result is considered abnormal and the work-up continues.
Volume
1.4 mL
Amount of semen ejaculated.
Concentration
16 M/mL
Millions of sperm per milliliter.
Total number
39 M
Millions of sperm in the sample.
Progressive motility
30%
Sperm that move forward.
Normal forms
4%
With typical shape, by strict criteria.
They are the 5th percentile of men whose partners achieved a pregnancy in 12 months or less. A value below them does not mean sterility, and a normal one does not guarantee fertility: the result is interpreted at the consultation, together with the couple.
Infertility is also a man's issue
The couple's work-up starts with both partners at the same time: the man's is simpler and faster.
Infertility
1 in 6
People of reproductive age who experience it at some point in their lives, according to the WHO.
Male factor
About 50%
Of couples with infertility have a male factor, alone or together with the woman's (European EAU guideline).
Varicocele
35% to 40%
Of men who consult for infertility have it, compared with about 15% of the general population (EAU).
When to get tested
- After 12 months of regular unprotected intercourse without achieving a pregnancy
- At 6 months if the partner is 35 or older
- The man and the woman are evaluated at the same time; the semen analysis can be done before that period
Causes that are looked for
- Varicocele: dilated veins in the scrotum that can affect the semen; a testicular Doppler ultrasound can show it
- Hormonal disorders, such as low testosterone or high prolactin
- Blockage of the ducts that carry sperm
- Treatments such as chemotherapy, and the use of testosterone or anabolic steroids
The man's work-up is coordinated with the woman's. If the couple needs assisted reproduction, MDE Care has its fertility program in Medellín, including in vitro fertilization. Concerned about age? Read until what age a man can have children.
Low testosterone: how it is confirmed
The diagnosis requires symptoms and a low value confirmed in the laboratory. It is not treated for tiredness alone.
AUA threshold
300
ng/dL of total testosterone
Below this value, measured in the morning on two different days and with symptoms, it is considered testosterone deficiency.
Symptoms that point to it
- Less sexual desire and less firm erections
- Lack of energy and less strength or endurance
- Low mood or irritability
- Loss of muscle mass or of underarm and pubic hair
Before treating
- It is confirmed with a second morning measurement
- LH is measured and, if it is low, prolactin, to find the cause
- If you are hoping to have children, testosterone is not used as a treatment because it suppresses sperm production; there are alternatives, such as clomiphene, under medical supervision
When it is considered premature ejaculation
The International Society for Sexual Medicine (ISSM) defines it with three criteria that must be present at the same time.
Short time
About 1 minute or less after penetration if it has occurred since the start of sexual life, or a clear reduction, to 3 minutes or less, if it appeared later.
Lack of control
Inability to delay ejaculation in all or almost all encounters.
Distress
Negative personal consequences: distress, frustration or avoiding intimacy.
In the surveys cited by the European guideline, the lifelong form affects about 2% to 3% of men and the acquired form about 4%; rapid ejaculation only on some occasions, which does not meet the criteria, is more common.
Treatment
The European guideline combines behavioral and couple techniques with medication. The first line in the lifelong form is oral dapoxetine or an anesthetic spray of lidocaine and prilocaine; the specialist chooses the option with you.
If there are also erection problems
The European guideline recommends treating erectile dysfunction first, and also prostatitis if present. See the erectile dysfunction page.
Three reasons, three different paths
What is studied, what is requested first and the estimated price of the initial work-up in Medellín.
Male infertility
For couples trying to conceive.
Initial work-up
COP 329,000 to COP 375,000
- Consultation and physical exam
- Semen analysis, repeated if abnormal
- Hormones if the concentration is low or there are symptoms
Low testosterone
For symptoms of desire, energy or strength.
Initial work-up
COP 450,000 to COP 513,000
- Consultation and symptom questionnaire
- Total testosterone, FSH, LH and prolactin in the morning
- Second measurement to confirm
Premature ejaculation
For rapid ejaculation without control.
Initial work-up
COP 275,000 to COP 280,000
- Consultation with a detailed sexual history
- Physical exam; tests only if something else is suspected
- Behavioral and medical treatment plan
Your andrology consultation in Medellín, step by step
The initial work-up is usually completed in a few days: tests are taken in the morning and the consultation is scheduled with the results. We coordinate the timing so you travel as little as possible.
Step 1
Contact by WhatsApp
You tell us the reason for your consultation and send us any tests you already have. All information is handled confidentially.
Step 2
Prior review
We review your tests and tell you which ones are best done in Medellín before the consultation.
Step 3
Formal quote
With the breakdown of the consultation and each test, in pesos or in dollars.
Step 4
Tests on arrival
The semen analysis and hormones are taken in the morning; we coordinate abstinence and the laboratory schedule.
Step 5
Andrology consultation
The specialist assesses you with the results in hand and defines the treatment.
Step 6
Follow-up and results
We coordinate the follow-up tests and the results consultation with the specialist.
What MDE Care does for you
We are not a clinic or a directory. We support you from the first question to the results consultation.
Initial guidance
We review your medical order or reason for consultation before booking.
The right specialist
We connect you with the urologist who performs the test you need.
Clear prices
You know the price and what it includes before booking.
Appointments and tests
We coordinate the schedule, the preparation and the timing of each step.
Logistics support
Accommodation and transportation if you are coming from another city or country.
Follow-up
We coordinate the results consultation and follow-up visits.
About andrology
What is the difference between a urologist and an andrologist?
How much does an andrology consultation cost in Medellín?
When should you see a doctor about infertility?
How do you prepare for a semen analysis?
What are the normal semen analysis values?
What testosterone level is considered low?
Is blood in the semen serious?
Does clomiphene raise testosterone?
Related pages
Request your andrology assessment
Tell us the reason for your consultation and the tests you already have. We will indicate the work-up path and the price before booking, in complete confidentiality.