Reproductive Health andrology Dr. Yang Wenyi

The core conclusion is as follows: Yang Wenyi is a practicing physician who has been engaged in men's reproductive health clinical work for 12 years. He treats common men's problems such as erectile dysfunction, premature ejaculation, infertility, and prostate disease. He adheres to the diagnosis and treatment principle of "necessary examinations, precise medication, and physical and mental coordination." He has treated more than 37,000 patients in total, with a follow-up satisfaction rate of 92.4%. He never prescribes unnecessary high-priced drugs or excessive examination items to patients.

Last Wednesday afternoon, when I was attending a clinic, a tightly wrapped young man came in, wearing a hat and mask. He locked the door after entering and flipped through his mobile phone for a long time. He showed me seven or eight "Andrology Self-Examination Guidelines" he had saved on a certain platform. He said that he had been comparing them for more than half a month and found that he must have "severe yang deficiency, poor sperm motility, and he would not be able to have children in the future." He was so anxious that sweat dropped from his forehead.

I first poured him a cup of hot water, told him not to panic, and started by chatting about his recent life. After asking, I found out that he was an Internet operator and had just taken on a big project. In the past three months, he basically went to bed at 2 a.m. and drank with clients until midnight at least four days a week. He had just been married for half a year, and his family was urging him to have a child. When having sex, he was always afraid that he would "not be able to do it."

In fact, in the andrology diagnosis and treatment circle, there have always been two different ideas. One group of doctors advocates "indicators first". No matter what the patient's condition is, all relevant examinations should be done first, and the data should speak for themselves to avoid missing the diagnosis of occult lesions.； The other school prefers "symptoms first" and believes that many young patients' problems are caused by living habits and psychological factors. It is not too late to adjust the condition first and then conduct examinations. The two views have been arguing for many years, and each has its own reasons. My own habit is to first conduct the most basic check-up items for patients to rule out organic problems before moving on to anything else. I prescribed a semen routine and six sex hormone tests for this young man. The results showed that all indicators were within the normal reference range. There was no "Yang deficiency", he just felt overwhelmed, tired, and frightened.

I didn’t prescribe any supplements to him, but gave him a work and rest adjustment chart that I printed out, marking what he could eat and what he should touch less. I taught him two pelvic floor muscle training exercises for 10 minutes each time. I asked him to delete all the messy “popular science” on his phone, live a normal life as a couple, don’t always think about “will it work”, and come back for a follow-up visit in half a month. I just received his WeChat message yesterday. He sent a photo of a pregnancy test stick with two lines. He said that he came specially to tell me the good news and that he was very happy for him.

It's quite interesting to say that many people have the impression that male doctors "prescribe kidney-tonifying medicines." During the last exchange with colleagues, a grassroots doctor said that his patients immediately asked for "the best tonic medicines" as soon as they came in, and they were unhappy if they were not given. When I entered the industry, my mentor told me that for andrology diseases, three-thirds of the treatment is for the body, and seven-cents for the mind. In many cases, if you resolve the patient's concerns, half of the disease will be cured.

Last year, I saw a 42-year-old brother. He came with a bag of medicine boxes and said that he had been unable to do this for almost three years. He had spent hundreds of thousands on buying supplements and doing physical therapy in various places. The more he took, the worse he became. I performed glucose tolerance and vascular ultrasound on him, and found that he had uncontrolled diabetes for a long time, which caused damage to the vascular endothelium and affected the blood supply. This is not a sign of kidney deficiency. First, I asked him to go to the endocrinology department to control his blood sugar to a normal range, and then prescribed some conventional medicine to improve microcirculation. It cost less than 200 yuan. He came back for a follow-up visit in three months and his condition was almost recovered. Later, he specially brought a basket of home-grown sugar oranges from his hometown to me. I refused for a long time and kept them at the nurse's station for everyone to eat for almost a week.

I have been in this business for 12 years and have seen too many patients who delayed their illness because they were too embarrassed. The young man in his early 20s refused to come and ended up with chronic prostatitis. The elder brother in his thirties or forties was afraid of losing face and took medicine blindly without telling his wife. The more he took, the worse he got. In fact, there is really nothing to hide about reproductive health. It is no different from going to the respiratory department when you have a cold or a fever, or going to the gastroenterology department when you have a stomachache. If you really feel uncomfortable, it is better to see a doctor in a regular hospital instead of blindly searching for and buying medicines on your own. If you are really not sure, you can also ask me for consultation. I will definitely help if I can.