Most male patients have no quality changes, which are mainly caused by psychiatric factors. Therefore, detailed collection of medical history is particularly important in diagnosis.
1. Medical history
In the collection of medical history, they must have full sympathy and understanding of patients and gain the complete trust of the patient.The general situation of medical history, the history of sexual life, sexual desire, penile erectile, sexual intercourse, ejaculation and sexual desire, frequency of sexual life, sexual intercourse duration, etc. Sometimes you need to listen and ask the patient's spouse's statement. Generally speakingThe condition of sexual dysfunction and sexual function is functional or organic, possible pathogenic factor, and so on.
2. Physical examination
Including the inspection of genitals (penis, scrotal content) and second sexual characteristics, to understand whether the body and sexual development are normal, there are no congenital anatomy abnormal hindrance to sexual life, and the whole body examination is expected to find a systemic disease that affects sexual function, especially nervousThe vascular system examination is necessary.
3. Laboratory and special inspection
Penis erections in the night sleep are normal men's phenomena from early childhood, especially in the morning. In the morning, it is more prominent.Negative.At present, stamp method or erectile ruler is often used to determine the erection of the penis in the sleep state.The artificial erectile test uses conventional doses of vascular activated drugs in the penis sponge internal injection to induce erection. If the penis is hard up in 10 minutes, and maintains a certain time (more than 30 minutes), it is functional impotence and can exclude the organic yang.Galavis (venous), vascular derivative factors is an important cause of organic quality.
In recent years, the use of vascular active drugs and Doppler color duplex ultrasound (DCDS) are recognized as the best way to detect sponge body blood flow. In the detection of functional yang, it also uses nerve induced potential and nerve reflex delayed reactions to determine endocrine function measurement.Including serum testosterone (T), sperm genericin (follicle stimulatory, FSH) cellular cell stimuli (lutein, LH), prolactin (PRL), etc.It can reveal the sexual dysfunction of the hypothalamic-pituitary-gland axis. In addition, the empty blood glucose and sugar tolerance should be determined.
(Editor in charge: drunk pen)
