1. History
It is important to correctly collect the medical history. Doctors must be serious and responsible and keep confidential for patients; patients must also cooperate vividly to truthfully reflect the following situations:
1. Occupation and work: Whether there is contact with poison (lead, mercury, phosphorus), radiation, whether high temperature operations, contact time, and whether there are protection measures; nutritional status; adverse habits (smoke, alcohol), etc.
2. Started history: Have you ever suffered from gonorrhea, mumps, tuberculosis, epididymitis, pyelonephritis, cystitis or spinal cord injury, difficulty in urinary urination, no diabetes or thyroid dysfunction, etc. The treatment conditions and effects.
3. Marriage and sexual living conditions: including attitudes to sexual life, sexual intercourse and frequency, whether there are nocturnal emission, premature ejaculation, etc., whether there are masturbation habits before marriage; how is the relationship between husband and wife, the health of his wife, whether the sexual life is coordinated, etc. Marriage period, time cohabitation and whether to take contraceptive measures.
4. Staying and treatment of past examinations: the results of the men's semen test, collection time and method; whether the treatment has been treated, how the effect is; the woman's examination.
5. Family history: patients with infertility, gender malformations, genetic diseases, tuberculosis and other patients in the family.
Second, physical examination
Including the whole body and reproductive organs.Specifications are the same as internal medicine. In particular, pay attention to development, nutrition and mental conditions, but the focus is on the inspection of reproductive organs. The inspection content includes:
1. Penis: Pay attention to whether there are severe phimosis, hard constraints, tumors or abnormal development of inflammation.
2, urethra; no fistula, lower cracks, hard constraints.
3. Prostate: The size of the anal diagnosis can be checked, there are hard constraints, tubers, and can also massage the prostate solution for examination.
4. Testicles: Measure its size, palpation hardness, whether there is hardline, tenderness, and pension, whether it is cryptor test.
5. Sacrifice: Touch the hardness of the vollarization tube, whether there are nodules, tenderness, or whether there is an iconic veins.
3. Laboratory inspection
Except for the semen examination as a compulsory item, the rest should be selected depending on the specific situation of the patient:
1. Semen analysis: This helps to understand the fertility of men. It is a compulsory item for infertility. The inspection content includes color, quantity, liquefaction time, pH, sperm count, activity, survival rate and form.
2. Exposure of in vitro heterogeneity: Even if conventional semen analysis is completely normal, sometimes it is still not possible to represent the essence of sperm.In vitro heterogeneous insemination experiments can more accurately estimate the fertilization ability of sperm, and it is very valuable to judge men's fertility. Commonly uses the heterogeneous insemination experiments of human sperm penetrating hamster eggs, with the sperm of normal fertility as a control.
3. Prostate liquid examination: Normal is milky white, alkaline, and the tiny and folding lecithin particles are seen under high -power mirrors. , Or even seeing pour pus cells, lecithin particles are significantly reduced.
