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What do men's counseling ask?
As many people know, Chinese medicine pays attention to seeing, listening, asking and feeling, and doctors know the occurrence, development and various manifestations of diseases by means of inquiry, observation and examination, so as to judge the condition. Male consultation is different from general consultation, mainly from the aspects of age, current illness, old illness, waiting, sexual intercourse, marriage and childbirth, life and family. The first question is age, which is of great significance in the diagnosis and treatment of andrology diseases. The growth and development of men can be divided into three stages: birth, growth, maturity and old age. At different ages, men's sexual function and reproductive ability have different physiological and pathological characteristics. For example, adolescence is a period of male sexual characteristics and physical development. If you grow a beard and Adam's apple when you are young, it is mostly precocious puberty. Through consultation, it can be seen that andrology diseases have different trends at different ages, which is also helpful for diagnosis and medication. Ask the sperm stage, because men have sperm cells in anatomy and have the functions of spermatogenesis, sperm storage and sperm excretion in physiology. Under pathological conditions, diseases related to spermatogenesis and spermatorrhea often occur. Therefore, it is of great value to ask the exact weather for the diagnosis of andrology diseases. Asking about semen is mainly about the quantity, color, texture and smell of semen. Whether there are nocturnal emission, nocturnal emission, hemospermia and premature ejaculation, and how many times; Ejaculation, whether there is discomfort such as low back pain and dizziness during ejaculation or after ejaculation; There is no ejaculation and ejaculation delay, weakness, etc. Asking about sexual intercourse is mainly to understand the attitude and desire of patients and their spouses towards sexual life; Frequency, interval, duration and posture of sexual intercourse; The status of penile erection in the same room, the amplitude and frequency of pumping; Sexual satisfaction, the appearance of orgasm and the feeling of ejaculation; No interruption of sexual intercourse, coitus interruptus; No premature ejaculation, impotence, sexual pain; Whether there is premarital sex or extramarital sex; Whether there is bad sexual intercourse, forced entry or forbearing entry; Is there any discomfort such as low back pain, burnout and dizziness after sexual intercourse? These situations should be inquired in detail. At the same time, we should also know the woman's physical condition, feelings and cooperation during sexual intercourse. Asking about marriage and childbirth. For married men, ask about their marriage age and fertility. If you are a remarried person, ask her the age of remarriage, the interval between two marriages, the wife's age and health status after marriage, and whether to take contraceptive measures. If you have been married and cohabited for more than 2 years, without contraception and without pregnancy, you should advise both men and women to have an examination at the same time and ask for the results. Ask about life, including work, living environment, eating habits, tobacco and alcohol hobbies, living conditions, health conditions and so on. Ask family members to know the health status of parents, brothers, sisters, spouses and children of patients; Whether there is a family history of genetic diseases and sexually transmitted diseases; Whether the death of their immediate family members is caused by reproductive system diseases. (Professor Wang Qi from Beijing University of Chinese Medicine)