The diagnosis of male impotence and premature ejaculation mainly depends on medical history inquiry, but special physical examination and laboratory testing are also necessary. If a patient has other erectile dysfunction symptoms in addition to impotence and premature ejaculation symptoms, necessary auxiliary examinations should be conducted according to the organic erectile dysfunction, such as sexual hormone testing, neuromyography, and penis blood vessel testing, In order to find the exact cause of erectile dysfunction, targeted treatment.
How should men be checked for impotence and premature ejaculation? Clinically, the diagnosis is mainly made through the following examination methods:
1. Medical history inquiry: Mainly inquire about sexual life, whether the relationship between husband and wife is harmonious, whether there are systemic diseases, whether there are long-term use of certain drugs, drugs, alcohol, etc., as well as the wife's understanding of sexual life and the current health status of both parties. Medical history inquiry is an essential item. Doctors can preliminarily investigate the cause of the disease based on the medical history, and hope that the patient will answer truthfully.
2. Physical examination: A comprehensive and systematic physical examination can provide information about systemic diseases that affect sexual function. Physical examination mainly examines the condition of the penis, testicles, epididymis, and other reproductive organs to see if there are abnormalities. According to the results of physical examination, anal examination is necessary if necessary, and it is hoped that the patient will not be shy. Experts pointed out that the examination in a regular male hospital is a one-on-one diagnosis and treatment environment, and patients can rest assured.
3. Specific laboratory diagnostic examination: There are many laboratory examination items, which is the most critical examination for diagnosing the etiology. Common examinations include B-ultrasound, prostate fluid examination, sexual hormone testing, sexual nerve function testing, penile cavernous injection of vasoactive drugs test, blood and urine routine, liver and kidney function, blood electrolyte, electrocardiogram examination, blood testosterone determination, and other basic testing items. Doctors will recommend corresponding examinations based on the patient's symptoms. Specifically, it includes the following checks.
(1) General examination: including general condition, cardiovascular, nervous system, and urogenital system examination.
(2) Laboratory examination: blood and urine routine, blood sugar, blood lipids, liver and renal functions, endocrine hormones, prostate fluid, etc.
(3) Sexual function examination: Through the sexual function examination workstation and detector, it can display the monitoring conditions such as the number, time, expansion, maintenance time, and interval time of erections at night. It is an effective and professional examination device for the examination of sexual dysfunction in andrology.
(4) Doppler penile blood flow measurement: It clearly displays various structures of the penis, accurately detects the blood flow velocity of arteries and veins, and accurately records the time, duration, and changes in the same period of male erections at night. This enables patients to complete a comprehensive examination of their erectile ability during sleep.
(Intern Editor: Cai Junyi)