What are the items in reproductive health examination

Routine reproductive health examinations do not have a unified fixed list. They generally cover the three core categories of reproductive system examination, infection screening, and functional assessment. Specific items will be personalized based on the gender, age, reproductive needs, and past medical history of the examinee.

I have been in the reproductive department for almost five years, and I have met many patients who asked for the "most expensive and most complete reproductive package" right from the start. In fact, it is really unnecessary. Last week, a 26-year-old couple who was preparing for pregnancy came for a check-up. Neither of them had any relevant medical history before, and they had no uncomfortable symptoms. The total number of items I prescribed was only six or seven. The girl had an additional ovarian function assessment, and the boy added a semen routine. The whole package was only over 1,000 years old, and the results were all qualified. They both left happily.

Regardless of men and women, the first thing to do is a physical examination of the reproductive system. Many people are a little resistant to this project and feel embarrassed. In fact, it is just like seeing an otolaryngologist to first check the ear canals and nasal cavities. It means that the doctor visually observes the external genitalia for developmental abnormalities, skin lesions, vegetations, etc. It can be completed in one minute without any pain, and can also eliminate many hidden problems.

The next step is infection screening, which is also done by almost everyone who undergoes reproductive examination. Everyone must be screened for notifiable infectious diseases such as AIDS, syphilis, and hepatitis B. In addition, routine leucorrhea (female), routine urine, and mycoplasma and chlamydia testing will be done according to gender, mainly to check whether they can be transmitted to their partners. , Infections that even affect the health of the fetus. I met a 29-year-old girl before who usually didn’t feel anything strange in her private parts. She was found to have a latent chlamydia infection before she was planning to get pregnant. She took antibiotics for two weeks before it turned negative. If she gets pregnant without being checked, there is a high probability that she will suffer from premature rupture of membranes and premature birth. Then she will be the one to suffer.

If you have clear fertility needs, or if you have problems such as irregular menstruation, intercourse bleeding, or erectile dysfunction, you will need to do a more in-depth functional assessment. For example, women can do six sex hormone tests and anti-Mullerian hormone (also known as AMH) to assess ovarian reserve function, and then do a gynecological ultrasound to see if there are any problems with the shape of the uterus and ovaries. If there is bleeding after intercourse, a T-shirt test is also required. CT and HPV check for cervical lesions; for men, it is best to do a semen routine and sperm morphology analysis before preparing for pregnancy to see if the sperm motility and density are sufficient. If there are erectile and ejaculation disorders, further tests such as sex hormones and testicular ultrasound will be fine.

By the way, many private institutions now promote "reproductive anti-aging packages" and "in-depth ovarian screening" that cost several thousand yuan, which include a bunch of items such as trace element testing and ovarian function factors. In fact, the industry does not recognize the reference value of these items at all, and they are completely useless. IQ tax, if you encounter a doctor prescribing a bunch of expensive items that you have never heard of, you can ask a few more questions about the effect. There is no need to waste money. A basic reproductive examination in a public tertiary hospital can be done for a few hundred yuan for an ordinary physical examination. If you need to prepare for pregnancy, the basic fee will not exceed 2,000.

In fact, you don’t need to be too anxious about having a reproductive examination. Before you go, think clearly about what you want, whether it is a routine physical examination, preparation for pregnancy, or if you have uncomfortable symptoms. Make it clear to the doctor that the prescribed items are the most suitable for you. You don’t have to search and compare them online for a long time, which may scare yourself.