1. Understanding the medical history is an important part of the doctor's diagnosis.Patients often only know that they are "no". As for why not, it is not clear.When a doctor understands the medical history, patients can require patients to be carried out in a quiet single room because of personal privacy.And doctors should care about the patients and gain the trust and cooperation of patients and family members. Some patients cannot actively describe them, and doctors need to inspire explanations.
As a patient, you should treat the disease correctly, overcome the shy psychology, and tell the doctor without hiding the process of the occurrence and development of his impotence and related issues, so that the doctor can master more comprehensive and detailed information in order to make the correct diagnosisAnd treatment.Doctors should abide by professional ethics, strictly keep secrets for patients, and safeguard the privacy of patients.
When asking the history of the medical history, you should focus on the patient's marriage history, sexual life history, frequency of sexual intercourse, ability, impotence, whether it is sudden or gradual, or have no night sleep erection.What are the causes of sexual intercourse failure, what are the concerns, and what is the reaction of his wife.Culture, education, economic conditions, living conditions, etc.What diseases, what medicine is taken? In the past, there was a history of mental trauma, history of trauma, history of diabetes, or other slow history, such as atherosclerosis, hypertension, renal insufficiency, and low thyroid function.Is there any habit of masturbation, no smoking, alcoholism and other hobbies, whether there is prostate removal, sterilization or other surgical history, or whether there are chronic or epididymitis, seminal vesicitis, spermatic veins, or not to take drugs that affect sexual function.History and other.Through the analysis of the medical history, it can basically distinguish whether it is mental impotence or organic impotence.
2. Patients should cooperate with the doctor's physical examination. The systemic conditions they need to understand when checking the physical examination such as blood pressure, nutrition and health, the development of second sexual characteristics and whether there is male breast development and nipple secretion.There should also be a key test whether there are testicles, the size of the testicles, and the or not abnormalities in the scrotum and scrotum; the penis is deformed, phimosis, balanitis, foreskinitis, etc., have undergone foreskin surgery;How is hardness.
The rectal test will carefully check the size, texture and nodules of the prostate to understand whether there are benign hypertrophy, cancer, or prostatitis.Normal seminal gland cannot be touched. It can be touched during chronic infection and cancer. When these diseases are suffering from these diseases, the semen wall becomes thicker, and the texture is tough, gonorrhea, tuberculosis, or non -specific infection.
The inspection of the lower limbs can mainly provide materials that can provide genital blood supply, such as erectile dysfunction caused by blood vessel blocking penile blood flow obstruction.Campus can basically understand the blood supply to the penis for the palpation of the femoral artery, the artery, and the foot of the foot.In addition, when the penis is not erected on both sides of its, it should be directly understood by the pulsation of the penis arteries.