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What items are included in the andrology examination?

Mainly examine urological diseases, sexually transmitted diseases, male infertility, sexual dysfunction, and male reproductive plastic surgery.

Examination items

(1) Medical history collection

Asking medical history is the first step and the most basic examination step in the diagnosis of andrological diseases.

1. Past history

Understand the history of past diseases, injuries and surgeries in as much detail as possible.

2. Personal history

Whether there is a history of occupational exposure to poisons, radiation, and high-temperature work; whether there is a history of long-term medication, including cancer chemotherapy drugs and hormone drugs; whether there is any damaging dose Radiation, exposure to harmful chemicals, chronic nicotine poisoning, etc.

3. Marriage and sexual life history

Marriage age, childbearing status, whether to use contraception, and what contraceptive measures are used; spouse’s age, occupation and reproductive history; sexual life history.

4. Family history

The health and fertility status of parents, brothers and sisters, whether there are hereditary diseases and diseases that may be related to heredity, and whether people with hereditary diseases have more or less symptoms. Spermia or azoospermia.

5. History of reproductive and urinary tract diseases

Whether there are inflammatory or obstructive urinary tract symptoms.

(2) Physical examination

The physical examination includes two parts: body examination and reproductive organ examination.

1. Full body examination

Measure height, height-to-arm length ratio, and weight. Pay attention to body posture, body hair distribution, visual field, sense of smell, thyroid gland, Adam's apple, gynecomastia, as well as blood pressure and cardiopulmonary conditions.

2. Reproductive organ examination

Observe the distribution of pubic hair; whether the foreskin is excessively long or phimosis; whether the glans penis is red, swollen, and eroded; whether the urethra has difficulty urinating, fistulas, or inferior fissures , whether there is secretion, stenosis and ectopy in the urethra orifice, whether there are lumps and induration in the corpus cavernosum of the penis, the length of the penis, whether it can be erect, and the hardness of the erection.

Whether there is scrotal deformity, dysplasia, edema, ulcers, sinus tracts, necrosis and tumors. The location, size, softness and hardness of the testicles and epididymis, whether there is swelling, tenderness, adhesion or nodular hard masses, and whether it is cryptorchidism. Whether the spermatic cord and vas deferens are thickened, nodular or tender, and whether there is varicocele.

Whether there are ulcers, scars and enlarged lymph nodes in the groin; perform digital rectal examination of the prostate and seminal vesicles, pay attention to the size of the prostate, its texture and hardness, whether there is tenderness and tenderness, whether the surface is smooth, and whether the nodules can be palpated on both sides Whether the leaves are symmetrical and whether the central sulcus exists.

(3) Laboratory examinations and other auxiliary examinations

Laboratory examinations include general laboratory examinations, semen examination, endocrine function examination, cytogenetic examination, and reproductive tract secretion bacteria Medical examination, biopsy, etc. Commonly used special examinations are X-ray examination, ultrasonic diagnostic examination (transrectal ultrasonic examination if necessary), radionuclide examination, infrared thermography examination, etc.

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1. Medical treatment guide

< p>1. Abstinence is required 3-5 days before the examination. Abstinence is required before some men's examinations. For example, before a semen examination, it is best to abstain from sex for 3 to 5 days, and not more than 7 days at the longest.

2. It is best to suspend the two types of drugs, 5-alpha reductase inhibitors and sex hormone drugs.

3. Don’t hide your past medical history.

4. Do not take a shower before consultation.

5. Watch it with your wife.

6. The narrative should be direct.

2. How to prevent

Medical gymnastics is a type of exercise therapy, which has the functions of promoting blood circulation and removing blood stasis, clearing joints, relaxing emotions, and enhancing resistance. Medical gymnastics for chronic prostatitis should be performed after self-pressure, of course, they can also be practiced alone.

There are 13 sections of medical gymnastics for chronic prostatitis. During practice, depending on the patient's physical condition and time, you can do the whole set or just a few sections. The movements in each section can be performed only 2-3 times, or more than ten times in a row, but sections 9, 10, and 11 should not be omitted.

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