Martina Ambardjieva, MD
Is this your author page?
Make it work for you. Your KevinMD author page is one of the highest-ranking results for your name. An enhanced author page turns this page into a premium profile with your photo, biography, affiliations, publications, and links, publishes your accepted articles in 1 to 3 days, includes a listing in Experts by KevinMD, and comes with a guaranteed interview on The Podcast by KevinMD. See an example · See the enhanced author page → Cancel anytime.
Latest articles
Conditions and diseases
A man notices it in a moment he did not plan to analyze. An erection that used to be straight now bends. There is a new ache. Sex feels different, less reliable, more tense. He tells himself it is temporary.…
A man notices it in a moment he did not plan to analyze.
An erection that used to be straight now bends. There is a new ache. Sex feels different, less reliable, more tense. He tells himself it is temporary. He avoids looking too closely. He stops initiating intimacy. And most of the time, he does not say a word.
That quiet delay is one of the most overlooked parts of Peyronie’s …
Read more…
Peyronie’s disease symptoms: Why men delay seeking help
Conditions and diseases
Few things scare parents faster than seeing blood where it doesn't belong. Maybe your child took a hard fall off a bike. Maybe there was a rough sports collision. Maybe it was a car accident, and everyone is still shaking.…
Few things scare parents faster than seeing blood where it doesn’t belong.
Maybe your child took a hard fall off a bike. Maybe there was a rough sports collision. Maybe it was a car accident, and everyone is still shaking. Then a nurse asks for a urine sample, or your child goes to the bathroom and you notice pink or red in the toilet.
Your mind immediately goes to the worst place.
As …
Read more…
Blood in urine after a child’s injury: When to worry
Conditions and diseases
A man in his late 40s sits down in my office and says, "Doctor, I think my testosterone is low." Sometimes he is already holding lab results. Sometimes he is coming from a gym forum, a friend's recommendation, or a…
A man in his late 40s sits down in my office and says, “Doctor, I think my testosterone is low.”
Sometimes he is already holding lab results. Sometimes he is coming from a gym forum, a friend’s recommendation, or a late-night Google search. But almost always, the story sounds familiar: lower sex drive, fewer morning erections, weaker erections, fatigue, brain fog, mood changes, and that stubborn belly fat that seems to …
Read more…
Low testosterone in men: a doctor’s guide to TRT safety
Conditions and diseases
Scrotal pain in young men is a frequent reason for emergency department visits and urology consultations. While many underlying causes are benign and self-limiting, others, most notably testicular torsion, represent true urologic emergencies in which delayed intervention can result in…
Scrotal pain in young men is a frequent reason for emergency department visits and urology consultations. While many underlying causes are benign and self-limiting, others, most notably testicular torsion, represent true urologic emergencies in which delayed intervention can result in irreversible testicular damage.
The clinical challenge lies in distinguishing conditions that allow for short-term observation from those requiring immediate evaluation. This distinction is particularly important in adolescents and young adults, …
Read more…
Scrotal pain in young men: When to seek urgent care
Conditions and diseases
Bladder cancer is one of the most common cancers worldwide, yet it often receives far less attention than other smoking-related cancers. According to the GLOBOCAN global cancer fact sheet, bladder cancer is among the top 10 most frequently diagnosed cancers…
Bladder cancer is one of the most common cancers worldwide, yet it often receives far less attention than other smoking-related cancers. According to the GLOBOCAN global cancer fact sheet, bladder cancer is among the top 10 most frequently diagnosed cancers globally, with more than half a million new cases diagnosed each year worldwide. It occurs significantly more often in men than in women, and the risk rises steadily with …
Read more…
Why smoking is the top cause of bladder cancer
Conditions and diseases
Kidney stone disease remains one of the most common and painful conditions in urology, affecting millions worldwide each year. Global data show a continued rise in incidence (more than 100 million new cases in 2021) making prevention and long-term management…
Kidney stone disease remains one of the most common and painful conditions in urology, affecting millions worldwide each year. Global data show a continued rise in incidence (more than 100 million new cases in 2021) making prevention and long-term management a priority for both clinicians and patients. Despite significant advances in minimally invasive treatment, many patients still ask a familiar question: “Is there a natural remedy that can help …
Read more…
Phytotherapy for kidney stones: a clinical review
Drugs and prescribing
Testosterone therapy is receiving renewed attention, not only from patients but also from regulatory agencies. In recent months, the U.S. Food and Drug Administration (FDA) updated the safety information for testosterone products, reflecting new evidence on cardiovascular risk. This has…
Testosterone therapy is receiving renewed attention, not only from patients but also from regulatory agencies. In recent months, the U.S. Food and Drug Administration (FDA) updated the safety information for testosterone products, reflecting new evidence on cardiovascular risk. This has generated understandable questions among men who are considering therapy and clinicians who prescribe it.
As a urologist, I frequently meet patients who are uncertain about the safety of testosterone treatment, particularly …
Read more…
Testosterone cardiovascular risk: FDA update 2025
Conditions and diseases
Most people exercise to improve cardiovascular fitness, metabolic health, or mood, but regular physical activity also plays a significant role in sexual and urinary function. As a urologist, I routinely see how movement influences two intimate yet essential systems: the…
Most people exercise to improve cardiovascular fitness, metabolic health, or mood, but regular physical activity also plays a significant role in sexual and urinary function. As a urologist, I routinely see how movement influences two intimate yet essential systems: the reproductive system and the lower urinary tract.
When patients present with urinary leakage, erectile changes, or reduced libido, they often expect a prescription or procedure. Yet for many, measurable improvement begins …
Read more…
How movement improves pelvic floor function
Conditions and diseases
Female athletes have redefined strength and endurance, but one common issue still hides in silence: urine leakage during training or competition. It's more common than most realize. In certain sports like gymnastics, trampolining, and CrossFit, the rates are particularly high.…
Female athletes have redefined strength and endurance, but one common issue still hides in silence: urine leakage during training or competition.
It’s more common than most realize. In certain sports like gymnastics, trampolining, and CrossFit, the rates are particularly high. Still, many women keep silent, assuming it’s a normal side effect of being active or that nothing can be done.
As a urologist, I often meet women who are in top physical …
Read more…
Female athlete urine leakage: A urologist explains
Conditions and diseases
Most men have heard jokes about finishing too soon, but few talk about it seriously, even when it causes anxiety, frustration, or distance in their relationships. Premature ejaculation (PE) is one of the most common male sexual health concerns, yet…
Most men have heard jokes about finishing too soon, but few talk about it seriously, even when it causes anxiety, frustration, or distance in their relationships. Premature ejaculation (PE) is one of the most common male sexual health concerns, yet it remains buried under stigma and silence.
As a urologist, I often meet men who have struggled quietly for years, wondering whether what they experience is “normal,” if it can be …
Read more…
A urologist explains premature ejaculation
Conditions and diseases
When a teenage boy develops sudden testicular pain, it should always be treated as an emergency. The most urgent concern is testicular torsion, where the spermatic cord twists and cuts off blood supply to the testicle. In these cases, every…
When a teenage boy develops sudden testicular pain, it should always be treated as an emergency. The most urgent concern is testicular torsion, where the spermatic cord twists and cuts off blood supply to the testicle. In these cases, every hour counts; waiting too long can mean permanent damage, loss of the testicle, and even future fertility problems.
Torsion happens most often in boys and adolescents because the testicles grow …
Read more…
Why sudden testicular pain is an emergency
Conditions and diseases
Most of us have done it: a new symptom pops up, and instead of calling a doctor, we type it into Google. In that moment, the internet feels like the fastest way to get answers. But when it comes to…
Most of us have done it: a new symptom pops up, and instead of calling a doctor, we type it into Google. In that moment, the internet feels like the fastest way to get answers. But when it comes to urology, a field where stigma, fear, and embarrassment often hold people back, the flood of conflicting or misleading information online can do more harm than good. That’s where digital health …
Read more…
How digital health is changing urology
Conditions and diseases
Kidney stones are not only about what you eat or the genes you inherit. They are also about where you live and how hot it gets. Every summer, urologists notice the same pattern: as the temperature climbs, so do the…
Kidney stones are not only about what you eat or the genes you inherit. They are also about where you live and how hot it gets. Every summer, urologists notice the same pattern: as the temperature climbs, so do the visits for kidney stones. Because heat and humidity do not just make us sweat, they change how our bodies handle water and minerals. Dehydration concentrates the urine, crystals form more …
Read more…
How summer heat increases your kidney stone risk
Conditions and diseases
Varicocele is one of the most common findings in men being evaluated for infertility. Roughly 15 percent of all men have one, and the number climbs to about 40 percent among men with fertility problems. Yet despite how common it…
Varicocele is one of the most common findings in men being evaluated for infertility. Roughly 15 percent of all men have one, and the number climbs to about 40 percent among men with fertility problems. Yet despite how common it is, a varicocele remains a confusing diagnosis. Some men are told they need surgery right away, while others are advised to do nothing at all.
The truth is somewhere in between. …
Read more…
What is a varicocele and how does it affect fertility?
Conditions and diseases
Over the past decade, cycling has evolved from a sport into a full-fledged lifestyle. From weekend road warriors to dedicated commuters, millions of men around the world rely on their bikes for exercise, stress relief, and environmental consciousness. But a…
Over the past decade, cycling has evolved from a sport into a full-fledged lifestyle. From weekend road warriors to dedicated commuters, millions of men around the world rely on their bikes for exercise, stress relief, and environmental consciousness. But a question often comes up in clinic rooms, whispered more than spoken aloud: “Is all this cycling hurting my fertility?”
It is a valid concern, especially for men trying to conceive. The …
Read more…
Does cycling hurt male fertility?
Conditions and diseases
It happens more often than people talk about: You go to the bathroom, and suddenly you notice red or brownish urine in the toilet bowl. Your heart skips a beat. Is it something you ate? Could it be serious? Should…
It happens more often than people talk about: You go to the bathroom, and suddenly you notice red or brownish urine in the toilet bowl. Your heart skips a beat. Is it something you ate? Could it be serious? Should you wait or call your doctor?
If you ever see blood in your urine, don’t panic, but don’t ignore it either. That red color, whether it’s faint pink or dark like …
Read more…
Don’t ignore hematuria: When to worry about blood in your urine
Conditions and diseases
Men don't usually bring up prostate exams in casual conversation, and that silence is part of the problem. Across clinics and exam rooms, we see it all the time: men who delay checkups until urinary symptoms become disruptive, or worse,…
Men don’t usually bring up prostate exams in casual conversation, and that silence is part of the problem.
Across clinics and exam rooms, we see it all the time: men who delay checkups until urinary symptoms become disruptive, or worse, when routine blood work turns into a cause for concern. The truth is, prostate screening isn’t about embarrassment or fear, it’s about staying one step ahead of issues that are common, …
Read more…
How are prostate exams done and why you shouldn’t avoid them
Conditions and diseases
Benign prostatic hyperplasia (BPH), commonly referred to as an enlarged prostate, is a highly prevalent condition affecting millions of men as they age. While it is not cancerous, its impact on daily life can be significant, causing lower urinary tract…
Benign prostatic hyperplasia (BPH), commonly referred to as an enlarged prostate, is a highly prevalent condition affecting millions of men as they age. While it is not cancerous, its impact on daily life can be significant, causing lower urinary tract symptoms (LUTS) such as frequent urination, weak stream, urgency, or nocturia.
Over the past decade, treatment options for BPH have expanded considerably. In addition to medications and conventional surgery, there are …
Read more…
New treatments for enlarged prostate offer faster relief with fewer side effects
Conditions and diseases
"My PSA came back at 6.2 — does that mean I have cancer?" It's one of the most common and emotionally charged questions I hear in the clinic. The prostate-specific antigen (PSA) test, once celebrated as a breakthrough in early…
“My PSA came back at 6.2 — does that mean I have cancer?”
It’s one of the most common and emotionally charged questions I hear in the clinic. The prostate-specific antigen (PSA) test, once celebrated as a breakthrough in early cancer detection, has become a double-edged sword. For many men, a slightly elevated PSA level is enough to trigger panic — and for some physicians, enough to trigger a biopsy.
But here’s …
Read more…
Why PSA levels alone shouldn’t define your prostate cancer risk
Real physician voices, twice a week
Free, and one click to unsubscribe.
