1 of 1 https://www.timeofcare.com/infertility-hpi-male/ Infertility, HPI (Male) -Age:___ -Prior paternity?:___ -Coital frequency:_____ -Sexual dysfunction?: No -Duration of infertility:____ -Any previous infertility evaluation and treatment? (if so, results): None -PMH (past and current):____ -Episodes of STIs:_____ -PSH: No hx of GU or inguinal surgery. -Last Pap Smear (date & results):_____ -SH: Denies tobacco, alcohol, illicit drugs use (marijuana, cocaine, etc). Denies environmental exposures like lead and arsenic. No external factors like biking, hot tubs/saunas. -FH: Denies a family history of infertility, birth defects, CF, genetic mutations, mental retardation. -Pertinent negatives: Patient denies symptoms of thyroid disease. He also denies a history of STIs, XRT / chemo. No history of mumps, testicular trauma/torsion, and undescended testicles. Patient denies a history of meds like sulfasalazine, cimetidine, nitrofurantoin. Patient denies diabtes (which may lead to low sperm count 2/2 to retrograde ejaculation). -Current medications (including herbal/OTC/Vitamins):____ -Allergies to meds:____ 21-08-2019, 08:54
