对男性不育的患者,应按步骤进行各项检查,以确定是否存在不育的因素,其中,医生详细询问病史是极为重要的一步,患者应主动配合,如实反映相关的各种情况,以Failure to diagnosis and treatment.History collection mainly includes the following aspects:
(1) Marriage history and sexual living conditions: including the age of marriage or remarriage, understanding of sexual knowledge, view of sexual life, sexual intercourse and frequency, adolescent development, sexual desire, erectile ability, ejaculation time, and whether they can be that can be that canSemen ejaculates into the vagina, is there, sperm, nocturnal emission, premature ejaculation, etc., whether there are masturbation habits before marriage, how the husband and wife feel, whether the health status of his wife, whether the sexual life is coordinated, etc., whether the marriage period and adopting contraceptive measures.Whether the woman has a history of abortion and fertility, has the woman who has done inspections on infertility.
(2) In the past, medical history: Have you suffered from mumps, tuberculosis, epididymitis, gonorrhea, pyelonephritis, cystitis, urination difficulty, diabetes or thyroid dysfunction, and other systemic diseases.Whether he has suffered from measles, pneumonia, typhoid fever, chronic bronchitis, pancreatic fibrous sac, and neurological diseases.Asked whether the body temperature is normal in the past six months, whether there is high fever or continuous fever.Ask as well as as much as possible and record.
(3) History of surgery and trauma: whether there is an accidental injury of genitals, spinal cord injury, whether urethral stenosis, urethral cracking surgery, prostate destruction, bladder and neck surgery, groin surgery (hernia repair, etc.), Hydrophone clearance, fallopian tube ligation, sympathetic nerve festival division, cryptor test surgery, lyric vein surgery, etc.
(4) Family history: Whether there are genetic diseases, gender deformities, infertility, tuberculosis and other patients in the family, have mothers who have used drugs and other drugs during pregnancy.
(5) History of drugs: Drugs that have been temporarily or continuously interfere with sperm activity, such as cytotoxic drugs, hormones, whether anti -hypertension and anti -psychiatric drugs have been used, and whether it has been used for willow nitrate sulfine pyridine.
(6) Occupation and bad hobbies: Whether to contact poison and chemicals (lead, mercury, phosphorus, etc.), radiation, whether high temperature operations, nutritional conditions, or not to smoke and alcohol.
(7) Status of past examination and treatment: semen test results, collection time and method, whether treatment, how effective, the woman's inspection situation, etc.
(Editor in charge: Internship Liu Suling)