The judgment should be paid attention to the following five points:
1. Most impotence is caused by mental and psychological factors.Therefore, patients are in the mental state of nervousness, fear, depression, anxiety, and distress.
2. The married man's penis cannot be erected or erected, which makes it impossible to do things. This is the main clinical manifestation of impotence.
3. Eliminate functional impotence, and should be combined with other signs to track the original disease.If you have diabetes, you should do blood and urine sugar test examination.
4, yang has two types: primary and secondary, as well as instrumental and functionality.Primary impotence manifests that the penis has never entered the vagina for sexual intercourse.The manifestation of the organic yang is manifested as the penis at any time, and it cannot erected (such as when the sleep is full and the bladder is filled with the bladder), and there is no spontaneous erection.The erectile room failed.
5. Patients with impotence are part of the lack of normal sexual knowledge by dryness, so it is necessary to ask patients to clarify the causes and other issues to clarify the cause.
What examinations do I have to do impotence?
1. Blood and urine routine:
Blood, urine routine, empty blood glucose, high and low density lipoprotein and liver and kidney function.
2. Hormone measurement:
Hormone measurement includes serum testosterone, luteal hormone, foam hormone and prolactin.
3. Circulation:
Penile sponge angiography is suitable for those who suspect venous fistula.
4. Selective penile arterial angiography:
It is the main method of evaluating the positioning and qualitativeness of abnormalities in penile blood supply. It is a creative examination that is taboo for those who have severe hypertension, diabetes, myocardial infarction and vasculitis.
5. Neurological examination:
Autonomous nerve tests include: heart rate control test, reflection testing test of cardiovascular, skin response, sponge muscle diagram, temperature domain value test, and urinary tract anal reflection.The body nervous system test includes the penile biological threshold measurement test, the sacral nerve stimulation reaction, the vulva nerve conduction speed, and the physical sensing induction potential.
6, chromosome examination:
Perform chromosomal examination if necessary.
(Editor in charge: Wang Shaohua)
