Anamnesis and Physical Examination

Anamnesis, i.e., the medical history, and physical examination are essential in every branch of medicine, including andrology. Regardless of the reason that leads a patient to the andrological visit, the first step must be the complete and comprehensive collection of information which will serve to guide the specialist for a diagnosis and, therefore, a therapy. An accurate andrological examination includes inspection and palpation of the entire genital area. However, they may cause the patient some embarrassment and discomfort. Every moment of the visit, from the opening the conversation to the physical examination, can be hindered by shyness and modesty since the medical act invades the genital area and sexuality. Any issue about the genital area, sexually transmitted infections, and sexual life can be difficult topics for the patient to discuss. In general, men are less prepared to disclose intimate details than women, independent of their age, feel awkward when asked about them, and are worried that talking about intimate issues is not acceptable. Therefore, patients require empathy, expertise (a specialist in the sexual field, e.g., reduces wariness, when talking about sexual issues), accurate up-to-date information, positive body language (eye contact, gentle attention), and acceptance of sexual behavior.