How should infertility caused by sexual dysfunction be examined?

Patient's question:

How to check for infertility caused by sexual dysfunction

Doctor's answer:

Examination of the genitalia, including the contents of the scrotum, and the examination of secondary sexual characteristics to assess whether physical and sexual development is normal and whether there are any congenital anatomical abnormalities that may hinder sexual activity. 2. A complete physical examination to identify systemic diseases that may affect sexual function. For example, certain diseases can be detected from skin manifestations, such as spider angiomas indicating liver disease or hyperpigmentation in Addison's disease. Certain diseases can be revealed from eye manifestations, such as exophthalmos in hyperthyroidism, Aron's pupils in neurosyphilis, and diabetic retinopathy, among others.

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