Sex examination

Sex examination provides a thorough study of the subjective and objective features of the patient's sexual functions, as well as an objective study of his general somatic condition, neurological and mental status, condition of the genitourinary system, conducting special socio-psychological and relevant paraclinical studies.
When examining complaints, particular attention should be given to data relating directly to sexual pathology or the presence of sexual dissatisfaction. It is necessary to clarify the patient's response to the existing disorder or violation of sexual harmony. Complaints reflecting a different pathology and existing neurotic disorders should be considered. A definite interest in understanding the patient's condition is clarifying the reasons for seeking medical help.
The study of the history of the disease involves the elucidation of the causes and conditions for the development of sexual pathology. It is important to find out exactly what factors led to the emergence of the opinion of each spouse about the presence of sexual dysfunction. It is important to clarify the circumstances of the first unsuccessful sexual intercourse and characterize subsequent violations, clarify the dynamics of the disorder and the reaction to it of each of the partners. It is necessary to obtain more accurate information about the previous treatment (if any) regarding sexual disorders.
When ascertaining the characteristics of the history of life, first of all, you should get information about the diseases and personal characteristics of parents and relatives. Of interest is the age of the parents at the time of birth of the subject, the state of health of the parents, and the presence of bad habits.
Regarding each patient, one should remember what child he was born in the family in the account, his early and late development, age and reasons for marriage, number and age of children. In the case of a divorce that has taken place, it is necessary to find out its reason. The presence of extramarital sexual relations and their motives is of undoubted clinical interest, data on the effect on the sexual function of pregnancy, childbirth and abortion, the practiced method of contraception and the attitude of each partner towards it are important. It is also important to find out the housing conditions, features of professional activity and working conditions, violations of the sleep and rest regime.