Sexual Health
How to check and diagnose male sexual dysfunction? Five examination criteria for male sexual dysfunction
Examination and diagnosis of sexual dysfunction? We must not understand this, because not professionals do not know how to check. Expert: Understanding the examination and diagnosis of sexual dysfunction can help patients prepare in advance to avoid any mistakes or improper preparation during the examination. What about the examination and diagnosis of sexual dysfunction? Let's take a look at the following introduction!
Experts pointed out that once men find their own sexual dysfunction, such as premature ejaculation, impotence, non-ejaculation, abnormal erection, etc., they should be immediately checked and diagnosed, which is conducive to your accurate treatment and early recovery. Because sexual dysfunction is different from other diseases, patients' psychological factors and other factors have a great impact. In addition to using instruments for detection, psychological communication should also be conducted with doctors to determine whether marriage and work environment have a great impact on disease. Therefore, the experts proposed the following inspection and diagnosis criteria.
Examination criteria for male sexual dysfunction:
1. General examination: First, check the development of the secondary sex sign; Check the external genitalia for malformation, trauma, testicular size, texture and deformity. When genital tract inflammation is suspected, digital rectal examination should be performed to check the size of prostate and seminal vesicle. Texture, no tenderness, etc.
2. Inspection: blood and urine routine, blood sugar, blood fat, liver and kidney function, endocrine hormone, prostate fluid, etc. Determine plasma testosterone, estradiol, prolactin, luteinizing hormone, follicle-stimulating hormone, thyroxine and blood glucose. If the plasma luteinizing hormone increases, the level of testosterone decreases, and testicular lesions occur; For example, plasma luteal hormone and testosterone decreased, prolactin increased, and hypothalamic lesions; For example, the simultaneous increase of plasma testosterone and thyroxine (T3, T4) is related to hyperthyroidism. In case of suspected genital tract inflammation, prostatic fluid microscopy can be performed.
3. Nerve test: bulbocavernous muscle reflex, squeezing the penis head, stimulating the perianal skin, causing contraction reflex of bulbocavernous muscle, ischiocavernous muscle, random muscle around the urethra, superficial transverse perineal muscle, anal sphincter and other muscle groups; It can be recorded by electromyography. The normal conduction time is 28-42m seconds, which prolongs the reflex time of patients with neurogenic yang disease and lower neuropathy.
4. Special examination: including nighttime penile swelling test, penile arterial blood pressure index, and penile cavernous injection of vasoactive drugs test. Color duplex ultrasound, cavernography, pressure measurement and erectile nerve function test.