inspection item
(A) medical history collection
Asking about medical history is the first step in the diagnosis of andrology diseases, and it is also the most basic examination step.
1, past history
Learn as much as possible about past diseases, injuries and surgical history.
2. Resume
Whether the occupation has a history of toxic substances, radiation exposure and high temperature operation; Whether there is a long-term medication history, including cancer chemotherapy drugs and hormone drugs; Have you ever received harmful doses of radiation and exposure to harmful chemicals, chronic nicotine poisoning, etc.
3. History of marriage and sexual life
Marriage age, fertility status, whether contraceptive measures are taken, and what contraceptive measures are taken; The age, occupation and birth history of the spouse; Sexual life history.
4. Family calendar
The health and fertility of parents, brothers and sisters, whether there are hereditary diseases and diseases that may be related to heredity, and those with hereditary diseases often show oligozoospermia or azoospermia.
5. History of reproductive and urinary diseases
Whether there are inflammatory or obstructive urinary tract symptoms.
(2) Physical examination
Physical examination includes general examination and reproductive organ examination.
1, general examination
Measure height, the ratio of height to arm length and weight. Pay attention to posture, body hair distribution, visual field, sense of smell, thyroid, Adam's apple, male breast development, blood pressure, heart and lung, etc.
2. Examination of reproductive organs
Observe the distribution of pubic hair; The foreskin is too long or phimosis, whether the penis head is red, swollen and eroded, whether the urethra has dysuria, fistula, fissure, secretion, stricture and ectopic urethral orifice, whether the cavernous body of penis has lumps and induration, whether the penis is long or not, and whether it can erect.
Whether there is scrotal malformation, dysplasia, edema, ulcer, sinus, necrosis and tumor. The location, size and hardness of testis and epididymis, whether there is swelling, tenderness, adhesion or nodular mass, and whether it is cryptorchidism. Whether the spermatic cord and vas deferens are thickened, nodular or tender, and whether there are varicocele.
Whether there are ulcers, scars and swollen lymph nodes in the groin; The rectum refers to the prostate and seminal vesicle. Pay attention to prostate size, texture hardness, tenderness, smooth surface, symmetry of bilateral lobes of nodules and presence of central sulcus.
(3) Laboratory inspection and other auxiliary inspections.
Laboratory examination includes general laboratory examination, semen examination, endocrine function examination, cytogenetic examination, bacteriological examination of reproductive tract secretion, biopsy and so on. X-ray examination, ultrasonic diagnosis examination (transrectal ultrasound examination is feasible if necessary), radionuclide examination and infrared thermography examination are commonly used for special examination.
Extended data
First of all, the doctor's guide
1, abstinence 3-5 days before examination. Some men need to abstain from sex before the examination, for example, before the semen examination, it is best to abstain from sex for 3 to 5 days, up to 7 days at the longest.
2, it is best to stop using the two drugs, 5-α reductase inhibitor sex hormone drugs.
Don't hide your past medical history.
4. Don't take a bath before consulting.
5. Take your wife.
6. The narrative should be direct.
Second, how to prevent it
Medical gymnastics is a kind of exercise therapy, which has the functions of promoting blood circulation, removing blood stasis, dredging joints, relaxing mood and enhancing resistance. Medical gymnastics for chronic prostatitis should be carried out after self-pressing, and of course it can also be practiced alone.
Medical gymnastics for chronic prostatitis *** 13, when practicing, according to the patient's physical condition and time, you can enter the whole set or just do a few sessions. Each action can only be done 2-3 times, or it can be done more than 10 times in a row, but section 9, 10, 1 1 cannot be omitted.
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