Gennet Andrology: Expert Care for Male Reproductive Health in Prague

Andrology focuses on male fertility, hormonal balance, and sexual health. Professional andrological care addresses concerns such as low sperm quality (spermiogram), erectile dysfunction, or hormonal imbalances, while also enabling the early diagnosis of more serious reproductive system conditions.

At Gennet, we view andrology as a key component of comprehensive care for couples trying to conceive. Male evaluation is often a crucial step in identifying the cause of infertility and establishing targeted treatment. At our Prague clinic, we provide expert and discreet care with an emphasis on a personalised approach and seamless integration with other medical specialisations.

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What Do We Focus on at the Gennet Andrology Clinic?

At Gennet, we focus on the most common concerns regarding male reproductive and sexual health. Our goal is to provide you with a sensitive and comprehensive approach, ranging from detailed, modern diagnostics to individually tailored treatment that reflects your specific needs. Our team of andrologists in Prague possesses extensive experience, led by MUDr. Viktor Vik, Ph.D., a specialist with over 30 years of practice in the fields of andrology and reproductive medicine.

Sexual Dysfunction

Problems with erection (erectile dysfunction), a decrease or loss of sexual desire (libido), or difficulties achieving orgasm can significantly impact your quality of life and partner relationships. Using modern diagnostic methods available at Gennet and individually tailored treatment, we will help you not only improve your sexual life but also regain your confidence.

 

Male Infertility

Up to 50% of infertility cases in couples can be related to male factors. The quality, count, motility, or shape (morphology) of sperm play a vital role in conception. Through detailed semen analysis (spermiogram) in our certified Gennet laboratories, specialized testing (sperm DNA fragmentation, anti-sperm antibodies), and close collaboration with our embryology and immunology labs, we can accurately identify potential causes. We then propose concrete solutions, including assisted reproduction options (IVF, ICSI) where appropriate.

Hormonal Changes (e.g., Aging Male Syndrome – Andropause)

A decline in testosterone and other hormonal imbalances can negatively affect your energy, mood, physical performance, muscle mass, cognitive functions, and libido. At Gennet, we focus on the early diagnosis of these changes and on the safe and effective restoration of hormonal balance, taking into account your individual needs and overall health status.

Ejaculation Disorders

Premature ejaculation, delayed ejaculation, or a complete absence of ejaculation (anejaculation) can have various causes—ranging from psychological factors to physical issues. Thanks to our experienced multidisciplinary team of specialists at Gennet, we can offer targeted diagnostics, therapy, and professional support.

When to Consider an Andrological Examination at Gennet?

If you are experiencing any issues with fertility, sexual health, or noticing changes that could be related to hormonal imbalance or overall male health, an andrological examination at the Gennet clinic can be an important first step toward a solution.

Typical Reasons to Visit Our Andrologist

  • Difficulty conceiving (more than 1 year of unprotected intercourse, or sooner if you or your partner are over 35).

  • Erectile dysfunction (difficulty achieving or maintaining an erection).

  • Ejaculation problems (premature, delayed, or painful).

  • Reduced sexual desire (decreased libido).

  • Symptoms of potential hormonal imbalance (chronic fatigue, loss of vitality, mood swings, loss of muscle mass).

  • Testicular pain or swelling, or any changes in the testicles.

  • History of illnesses that may affect fertility (e.g., mumps in adulthood, testicular inflammation).

  • Before undergoing treatment that may affect fertility (e.g., chemotherapy).

An Andrological Examination Is Also Recommended as a Preventive Measure, for Instance:

  • Before planned fatherhood, to gain certainty regarding your reproductive health.

  • When planning preventive sperm freezing (cryopreservation).

  • Following a significant lifestyle change or if you have concerns about your fertility.

What Does an Andrological Examination at Gennet Involve?

At the Gennet clinic in Prague, an andrological examination is comprehensive and always conducted with the utmost regard for your comfort and privacy.

Initial Consultation and Medical History
Basic Physical Examination
Spermiogram – Basic Male Fertility Testing
Additional Specialized Diagnostic Tests (As Indicated by a Physician)

Initial Consultation and Medical History

The first step is a thorough consultation with our andrologist. The doctor will discuss your overall medical history, lifestyle, any current concerns, sexual health, efforts to conceive, and your expectations. This consultation takes place in the discreet and professional environment of the Gennet clinics, where we place maximum emphasis on your privacy and comfort. Based on this information, the doctor will recommend which specific examinations are most suitable for your individual case.

Basic Physical Examination

An examination of the genitals is usually also a part of the basic physical assessment.

Spermiogram – Basic Male Fertility Testing

This is a key laboratory analysis of the ejaculate that evaluates the fundamental parameters of sperm: total count and concentration, motility, and shape (morphology). At Gennet, we perform the spermiogram according to the current standards of the World Health Organization (WHO). Sample collection takes place in a discreet room directly at the Gennet clinic in Prague; alternatively, by prior arrangement, it is possible to deliver a sample from home under specific conditions. The spermiogram is a foundational test that defines a man’s fertile potential and, in some cases, helps reveal potential causes of infertility to determine the next targeted steps in treatment.

Additional Specialized Diagnostic Tests (As Indicated by a Physician)

Based on the results of the initial consultation and spermiogram, the doctor may recommend further supplementary examinations for a more accurate diagnosis:

  • Blood Tests: To assess male sex hormone levels (testosterone, FSH, LH, prolactin, etc.) and detect potential hormonal imbalances or other health issues.

  • Testicular Ultrasound (Scrotal Sonography): A detailed and painless imaging of the testicles, epididymis, and surrounding tissues, which can reveal conditions such as varicoceles, cysts, inflammation, or tumours.

  • Transrectal Ultrasound (TRUS): For a detailed examination of the prostate, seminal vesicles, and vas deferens, particularly when an obstruction of the seminal pathways is suspected.

  • Genetic Testing for Male Infertility: If significant abnormalities are found in the spermiogram (e.g., very low sperm count – oligozoospermie, or no sperm – azoospermia), genetic testing may be recommended (e.g., karyotype, Y-chromosome microdeletions, CFTR gene mutations). These tests are available as part of Gennet's comprehensive care via laboratory venous blood analysis.

  • Immunological Examination: Testing for the presence of anti-sperm antibodies.

  • Microbiological Analysis of Ejaculate or Urine: To rule out infections that may affect fertility.

  • Testicular Biopsy (TESE/MESA): In cases of azoospermia (absence of sperm in the ejaculate), this microsurgical procedure is used to obtain sperm directly from the testicular or epididymal tissue for assisted reproduction (ICSI). This procedure is performed at specialized Gennet facilities.

Once all necessary examinations are completed, our andrologist will clearly explain the results and propose an Individually Tailored Treatment Plan. This plan will fully correspond to your specific needs and goals, including potential collaboration with other specialists within the Gennet clinic (e.g., IVF experts, geneticists, psychologists).

How Much Does an Andrological Examination at Gennet Cost?

Is the Examination Covered by Health Insurance?

Mostly Yes

The cost of an andrological examination at the Gennet clinic in Prague depends on the type and scope of the tests performed, which are always indicated based on your individual situation and the physician's recommendation. An initial consultation and a spermiogram are often the first steps.

The vast majority of medical procedures are fully covered by health insurance, particularly when the examination is indicated by a doctor for the purpose of diagnosing infertility or other health issues. We will always inform you in detail and in advance about the reimbursement options and the exact price of any non-covered procedures during your consultation with the physician. At Gennet, our goal is transparency and ensuring you are fully informed.

Frequently Asked Questions (FAQs)

Do you have further questions or would you like to book an appointment? Please do not hesitate to contact us. The Gennet clinic team is ready to provide you with all the necessary information and support.

What if my spermiogram results are abnormal?
  • Andrology

Even if your first spermiogram shows significant abnormalities, it doesn’t mean a natural conception is impossible. Sperm parameters can fluctuate over time. One abnormal result isn’t definitive; a repeated test in 8–12 weeks is usually  recommended. If abnormalities persist, we’ll suggest additional tests and an individualized treatment plan — this may involve lifestyle changes, medication, supplements, or assisted reproduction techniques like IVF with ICSI. Don’t lose hope and keep your faith — modern medicine offers many solutions.

How long does it take to get test results?
  • Andrology

Basic spermiogram results are usually available within a few hours. More complex tests  e.g. hormone analysis, genetic testing, or biopsies may take longer. We’ll inform you in advance of expected timelines.

Are andrology exams painful?
  • Andrology

Most andrology procedures at Gennet are painless or only mildly uncomfortable. Blood draws and semen collection are virtually painless. Ultrasounds are non-invasive. Some tests, such as TRUS or testicular biopsy (done under sedation or local anesthesia), may cause slight discomfort — your doctor will fully brief you beforehand.

Can I undergo an andrology exam even if I’m not planning treatment right now?
  • Andrology

Yes, absolutely. An andrology exam gives valuable insights into your reproductive health and can reveal potential risks. This can guide future decisions, even if you don’t need immediate treatment. An early diagnosis can help you to take  peaceful, informed  decisions in the future.

How long does the andrology exam take?
  • Andrology

The initial consultation typically takes 30–60 minutes, depending on case complexity. Sample collection (blood, semen) only takes a few minutes. Some results may take a few days.

Do I need a referral from a GP to see a Gennet andrologist?
  • Andrology

No, you can book a consultation and examination directly at our Prague clinic without a referral.

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Gennet Urology Outpatient Clinic Prague 7

Care in our uro-andrology outpatient clinic and one-day surgery procedures are provided at GENNET Letná in Prague 7.

Kostelní 9
170 00 Prague 7
urologie@gennet.cz
+420 242 456 829

The GENNET Urology Outpatient Clinic is currently not accepting new permanent patients, only those interested in one-time surgical procedures.

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