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Management of Men's Reproductive Health Problems

• ENGENDERHEAlTH

I © 2003 EngenderHealth. All rights reserved. 440 Ninth Avenue New York, NY 10001 U.S.A. Telephone: 212-561-8000 Fax: 212-561-8067 e-mail: [email protected] www.engenderhealth.org

This publication was made possible, in part, through support provided by the Office of Population, U.S. Agency for International Development (USAID), under the tenns of cooperative agreement HRN-A-OO-98-00042-00. The opinions expressed herein are those ofthe publisher and do not necessarily reflect the views ofUSAID.

Cover design: Virginia Taddoni

ISBN 1-885063-45-8

Printed in the United States ofAmerica. Printed on recycled paper.

Library of Congress Cataloging-in-Publication Data Men's reproductive health curriculum: management ofmen's reproductive health problems. p. ;cm. Companion v. to: Introduction to men's reproductive health services, and: Counseling and communicating with men. Includes bibliographical references. ISBN 1-885063-45-8 l. . 2. Human reproduction. 3. Generative organs, Male--Diseases--Treatment. 1. EngenderHealth (Firm) 11. Counseling and communicating with men. Ill. Title: Introduction to men's reproductive health services. [DNLM: I. Genital Diseases, Male. 2. Physical Examination--methods. 3. Reproductive Health Services. WJ 700 M5483 2003] QP253.M4652003 616.6'5--dc22 2003063056

II Contents

Acknowledgments ,. Introduction

1 Disorders of the Male Reproductive System 1.1 The Male Reproductive System 1.1 The Sexual Response Cycle in Men 1.1 Common Sexual and Reproductive Health Disorders in Men 1.5 Male 1.41 Male 1.48 Sexually Transmitted (STIs) 1.61

2 Sexual and Reproductive Health Assessment 2.1 Importance ofTaking a Sexual and Reproductive Health History 2.1 An Effective Step-by-Step Approach 2.2 Major Components ofSexual and Reproductive Health History Taking 2.4 Global Screening Recommendations 2.9 Sexual and Reproductive Health History Taking Case Studies 2.10 3 Performing a Genital Examination 3.1 Before the Genital Examination 3. I During the Genital Examination 3.3 The Genital Examination, Step by Step 3.6 After the Genital Examination 3.16 Interpreting Laboratory Test Results 3.17 Appendixes Appendix A: The Male Reproductive System A.I Appendix B: Complications, Treatment, and Prevention ofSTls 8.1 Appendix C: Facts C.I Appendix D: Sample Sexual and Reproductive Health History Form D.I Appendix E: Sexual and Reproductive Health History Questions E.I Appendix F: Teaching the Client How to Perform a Genital Self-Examination EI Appendix G: Checklist for Performing a Genital Examination G.l Appendix H: Photographs H.I Appendix I: Glossary 1.1 Appendix J: Recommended References 1.1

EngenderHealth Men's Reproductive Heatth Probktms iii Acknowledgments

A number of individuals contributed to the creation ofthis manual. EngenderHeahh staff members Dr. Martha Jacob, Manisha Mehta, Dr. Joseph Ruminjo, and Dr. Isaiah Ndong and consultants Dr. Meghal Mehta and Dr. Randy Pritchett wrote the participant's hand­ book. Consultants Dr. Katherine A. Forrest and Sharon Myoji Schnare. R.N.. EN.P.. C.N.M., M.S.N., contributed to the original manuscript of the participant's handbook. Consultants B. 1. Bacon and Sandy Rice of the Center for Health Training developed the trainer's manual. Consultant Siri Bliesner designed the evaluation instruments.

EngenderHealth would also like to acknowledge EngenderHealth staffmember Mary Nell Wegner, who initially spearheaded the efforts to develop this curriculum. In addition. we appreciate the feedback given by EngenderHealth staffAndrew Levack and consultant Dr. Pio Ivan Gomez, who reviewed the manual. and