性功能障礙泌尿科檢查什麼

性功能障礙泌尿科檢查什麼,對於性功能障礙問題，泌尿科醫生可能會進行一系列的檢查來評估病因和製定適當的治療方案。以下是一些常見的泌尿科檢查項目：


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病史和症狀詢問：醫生會詳細詢問您的病史，包括性功能問題的起始時間、頻率、嚴重程度以及任何可能的觸發因素。他們還會詢問其他泌尿系統相關的症狀，如尿頻、尿急等。

體格檢查：醫生會進行身體檢查，包括觀察外生殖器和泌尿系統的狀況，檢查睾丸的大小和形狀，以及檢查其他相關的身體指標。

血液測試：醫生可能會建議進行血液測試，以評估性激素水平（如睾酮、雌二醇等），檢查甲狀腺功能、血糖水平和其他相關指標。

尿液分析：尿液分析可以用於排除尿路感染等問題，這些問題有時會導致性功能障礙。

生殖系統超聲檢查：超聲波檢查可以評估生殖器官的結構和功能，包括陰莖血流的情況，以排除器質性病變。

人類睾酮激素免疫測定（Hormone Check）：這是一種測試性激素水平的檢查，可以幫助評估患者是否存在睾酮不足等問題。

心血管評估：醫生可能會進行心血管評估，檢查心臟功能和血液循環狀態，因為心血管疾病可能會影響性功能。

陰莖海綿體內的內皮細胞及神經末梢在受到性刺激時會釋放神經傳導物質一氧化氮(NO)，促使海綿體平滑肌細胞內的GTP變成環狀單磷鳥糞核糖苷(cGMP)，cGMP造成海綿體的平滑肌細胞放鬆，海綿體動脈擴張，血液大量流入陰莖海綿體內，達到陰莖充血及勃起狀態。

然而cGMP會被第5型磷酸二脂酶(PDE5)破壞分解成GMP而失去效用。使用第5型磷酸二脂酶抑制劑(PDE5i)可以減少cGMP被分解，延長cGMP於海綿體內的時間，增加cGMP濃度，將有助於陰莖海綿體內充血並改善勃起功能。

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具體的檢查項目會根據醫生的判斷和您的具體情況而有所不同。如果您遇到性功能障礙問題，請盡快諮詢專業的泌尿科醫生，他們將根據您的症狀和需要進行適當的檢查。

 

What a urologist does for sexual dysfunction. For sexual dysfunction, a urologist may perform a series of tests to assess the cause and develop an appropriate treatment plan. The following are some common urological examination items:

History and symptoms: Your doctor will ask you a detailed medical history, including when sexual problems started, how often, how severe they are, and any possible triggers. They will also ask about other urinary symptoms such as urinary frequency and urgency.

Physical examination: The doctor performs a physical examination, which includes observing the condition of the external genitalia and urinary system, examining the size and shape of the testicles, and examining other relevant physical parameters.

Blood tests: Your doctor may recommend blood tests to assess sex hormone levels (such as testosterone, estradiol, etc.), check thyroid function, blood sugar levels, and other related indicators.

Urinalysis: Urinalysis can be used to rule out problems such as urinary tract infections, which can sometimes lead to sexual dysfunction.

Ultrasonography of the reproductive system: Ultrasonography can evaluate the structure and function of the reproductive organs, including penile blood flow, to rule out organic disease.

Human testosterone hormone immunoassay (Hormone Check): This is a test to test the level of sex hormones and can help evaluate whether the patient has problems such as insufficient testosterone.

Cardiovascular evaluation: Your doctor may do a cardiovascular evaluation to check heart function and circulation, Www.poxet.tw because cardiovascular disease may affect sexual function.

The endothelial cells and nerve endings in the cavernous body of the penis will release the neurotransmitter nitric oxide (NO) when they are sexually stimulated, and the GTP in the smooth muscle cells of the cavernous body will be changed into cyclic monophosphate guanosine (cGMP). The smooth muscle cells of the body relax, the arteries of the cavernous body expand, and a large amount of blood flows into the cavernous body of the penis, reaching the state of hyperemia and erection of the penis.

However, cGMP will be broken down into GMP by type 5 phosphodiesterase (PDE5) and lose its effectiveness. The use of type 5 phosphodiesterase inhibitors (PDE5i) can reduce the breakdown of cGMP, prolong the time of cGMP in the cavernous body, and increase the concentration of cGMP, which will help the hyperemia in the penile cavernous body and improve erectile function.

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Specific examination items will vary according to the doctor's judgment and your specific situation. If you experience sexual dysfunction issues, please consult a professional urologist as soon as possible, they will carry out the appropriate examination according to your symptoms and needs.