7 ways to check for sexually transmitted diseases

　　sexually transmitted diseases Seven commonly used inspection methods

　　1. Reproductive organ examination

　　This is most important because the internal and external genitalia are sexually transmitted disease The main organ of attack, primary lesions often occur here.

　　2. Perineal area examination

　　Full and comprehensive attention should be paid to whether there are specific rashes, erythema, scales, nodules, etc.; male When inspecting the glans and coronal sulcus, the foreskin should be opened to fully expose the area being examined, especially if there are any STD lesions on the foreskin cavity, the dimples on both sides of the foreskin frenulum, the foreskin of the penis and the scrotum.

　　3. Examination of Neisseria gonorrhoeae

　　Neisseria gonorrhoeae is a gram-negative diplococcus that is kidney-shaped or arranged in pairs, similar to meningococci. Smears of urinary tract or sub-organ secretions are subjected to Gram staining or Methylene blue staining. When observed under a microscope, gonococci can be seen in pus specimens from patients with acute sexually transmitted diseases, while most gonococci are located outside the cells in chronic patients. The discovery of gonococci is of great significance in the diagnosis of gonorrhea.

　　4. Examination of Treponema pallidum

　　Observe the tissue exudate smear of the hard chancre in patients with early stage mesophyllitis under a dark field microscope or phase contrast microscope. If active treponemes or bright slender spirochetes are seen, combine clinical Symptoms can be identified as Treponema pallidum, which is brown-black with silver staining and red with Giemsa staining.

　　5. Non-reproductive organ examination

　　Those who are suspected of having non-genital sexual activity should check the mouth, lips, tongue, pharynx, nipples, thighs and anus. In particular, homosexuals may have injuries or lesions in the above parts. Perianal appearance, anal digital examination and anoscopy can be performed on the anus.

　　6、skin and lymph node examination

　　A comprehensive facial and mucosal examination cannot be ignored. Syphilitic roseola, gonococcal skin infection, extragenital herpes simplex and other characteristic sexually transmitted diseases can often be found. AIDS Kaposine tumors are also often discovered first in the skin. Syphilitic rash or condyloma lesions are common on the mucous membrane, both of which have diagnostic significance.

　　7. General physical examination

　　Such as evaluating growth and development, mental and nutritional status. nerve , circulatory, digestive and motor systems are also considered to be comprehensively examined.