Physical examination for infertile men

Physical examinations for infertile men include general examinations and genital examinations, which include measuring height, weight, finger distance, and blood pressure. Check your heart, liver, lungs and other organs for serious chronic diseases. Observed secondary sexual characteristics, including body shape, hair distribution (armpit, body, face, perineum) and degree of puberty development, with or without male breasts, olfactory abnormalities. If there are no beards, no larynx, pubic hair and sparse hair, high-pitched sounds and other signs, it should be considered that male secondary sexual characteristics are not developed, and there are dysplasia of the seminiferous tubules (ie, Klinefelter syndrome). Basic Information Specialist classification: male examination inspection classification: physical examination Applicable gender: whether the male is fasting: not fasting Analysis results: Below normal: Normal value: no Above normal: negative: A negative test result indicates that the subject's body is normal. Positive: A positive test result may indicate that the second sexual feature is not developed, and there may be a dysplasia of the seminiferous tubule (ie, Klinefelter syndrome). Tips: Do not have sex before 3 days of physical examination. Normal value Height, weight, finger distance, blood pressure, secondary sexual characteristics were normal and negative. Clinical significance Abnormal result 1. If there are no beards, no larynx, pubic hair and sparse hair, high-pitched sounds and other signs, it should be considered that male secondary sexual characteristics are not developed, and there may be dysplasia of the seminiferous tubules (ie, Klinefelter syndrome). 2, such as high blood pressure, centripetal obesity, hairy, purple belly, etc., should be considered for hypercortisolism, can cause infertility. 3, such as leukocytosis or red blood cells can be diagnosed as chronic prostatitis. Male infertility patients need to be examined. Positive results may be diseases: male infertility, orgasm disorders, sexual dysfunction in older men Taboo before inspection: 1. A few days before the physical examination, pay attention to diet, do not eat too much greasy, non-digestible food, do not drink alcohol, do not eat drugs that damage liver and kidney function; 2. Pay attention to rest before the physical examination, avoid strenuous exercise and emotional excitement, and ensure adequate sleep, so as not to affect the physical examination results. It is best to take a bath; 3. Pay attention to keeping blood pressure stable; 4. If you wear glasses, be sure to wear glasses. 5. If you have had surgery, you should bring relevant medical records and relevant information; 6. On the morning of the medical examination, you should fast and ban water. 7. Requirements for inspection: In order to ensure that the physical examination results can be accurately understood after the medical examination, please fill in the medical examination form and each test sheet carefully before the medical examination. The writing should be clear, especially the name, and the project should be completed. If you have any special needs during the medical examination, please contact the medical staff in time. Inspection process The physical examination includes: 1. Measure height, weight, finger distance, and blood pressure. Check your heart, liver, lungs and other organs for serious chronic diseases. 2, observe the second sexual characteristics, including body shape, hair distribution (armpit, body, face, perineum) and puberty development degree, with or without male breasts, olfactory abnormalities. 3, if there is no beard, no larynx, pubic hair and sparse hair, high-pitched sound and other signs, should be considered for male secondary sexual characteristics are not developed, there is the possibility of dysplasia of the seminiferous tubules (ie, Klinefelter syndrome). 4, such as high blood pressure, centripetal obesity, hairy, purple belly, etc., should be considered for hypercortisolism, can cause infertility. The genital examination includes: 1, generally should be upright or supine position, check for genital malformation, urethral fissure, hypospadias, with or without penile cavernous induration, penis size (adults about 7 ~ 10cm, doubling can be doubled ). Whether there are serious phimosis, inflammation, tumors, etc. 2, testicular size (average testicular volume of 198ml in adults, less than 12ml showed testicular dysplasia, small and soft testes often appear less sperm or no sperm). Check for thickening, tenderness or cysts in the epididymis. Whether the vas deferens is absent. 3, the patient stands, suffocates, increases abdominal pressure to check for varicocele, vaginal presence or absence of hydrocele. Rectal examination, check the shape, size, texture, or induration of the prostate, for chronic prostatitis, can be done with prostate massage liquid microscopy, such as leukocytosis or red blood cells, can determine the diagnosis. Not suitable for the crowd Infertile men have no taboos for physical examination. Adverse reactions and risks Because this test is a non-invasive test, it will not cause complications and other hazards.

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