1. Psychological abnormalities
Have a little knowledge of the transmission route of sexually transmitted diseases, one-sidedly exaggerate the possibility of infection through non-sexual contact, are highly afraid of sexually transmitted diseases, suspect that they have contracted sexually transmitted diseases, although there is no history of sexual contact, and no suspicious symptoms, positive signs and laboratory evidence of sexually transmitted diseases, but fear Still unable to control himself, repeatedly asked for confirmation.
Or have a history of pre-marital or extramarital sexual intercourse or have suffered from sexually transmitted diseases, although the sexually transmitted diseases have been ruled out or cured by physical examinations and laboratory examinations, but their doubts have not been resolved, suspected that the doctors have poor medical skills, poor laboratory equipment, and wrong examination results Etc., so he kept changing doctors and hospitals to request further examination and treatment.
Increased attention to things related to sexually transmitted diseases is manifested in not only paying special attention to external speeches, books, audio and video related to sexually transmitted diseases, but also being particularly sensitive to minor changes and discomforts or even normal physiological phenomena. It is considered to be the symptoms or early manifestations of venereal diseases.
The medical history is eloquent, repeatedly stressing that it is related to venereal diseases, but it is an irrelevant subtle plot, often exaggerating the symptoms, repeatedly asking questions, believing in doubt despite explanations, or stubbornly stubborn, and insisting on repeated examination and treatment.
2. Abnormal behavior
The main reason is to be highly vigilant and avoid the possible ways of infectious diseases. If you are afraid to share a room with your spouse, use all daily necessities separately from others. Repeatedly forced washing, and some seek medical advice multiple times a day to relieve his huge mental stress. Patients show unreasonable concerns about the look and feel of urethral, anal or vaginal discharge, and genitals.
Such as the resulting obsessions or compulsive examination of the genitals, and this practice itself can cause irritation and secretions. Acknowledging these symptoms (or the patient’s description of these symptoms) without objective evidence of infection or recurrence may further promote venereal neurosis and make the patient’s neurotic tendency worse. Manual manipulation of the penis to produce secretions (often a violent squeezing of the head and body of the penis instead of the usual careful manipulation) is a characteristic of such patients.
In addition, patients may also be abnormally concerned about irregular pigmentation, skin surface, skin tags, sebaceous cysts, hair follicles, etc. In the case of unproven infection or disease, treatment is strongly required, which is also a manifestation of venereal neurosis.
Most have fears, anxiety or depression, self-reported dizziness, headache, insomnia, nightmares, palpitations, loss of appetite, tinnitus, fatigue, etc. I often feel incomplete urination, or urethral itching, pain and discomfort, and “discharge” at the urethral opening. Scrotum, lower abdomen pain and discomfort, low back pain, and nocturnal emission, premature ejaculation, impotence, irregular menstruation, decreased libido, etc. In severe cases, hyperesthesia symptoms such as insect bites in the urethra or insect crawling in the vagina can be felt.
Mainly manifestations of autonomic dysfunction, such as facial flushing and fever, hyperhidrosis, palpitation, fast heart rate, arrhythmia, tremor of hands, etc. However, the external genitalia and system examination showed no positive signs of sexually transmitted diseases.
The above-mentioned various clinical manifestations disappear or are not obvious during work stress, attention shift, and sleep.
5. Laboratory inspection
No abnormal findings were found in laboratory examinations related to STDs.
According to the clinical manifestations, no abnormal findings were found in laboratory tests related to STDs. It can be diagnosed.