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Does an impotent man feel desire?

The Difference Between Impotence and Low Libido However, men who experience impotence commonly experience a decrease in libido over time, he adds. When libido drops and impotence, or erectile dysfunction, is not a problem, there are numerous factors a doctor might suspect as the cause.

webmd.com - When Men Aren't in 'The Mood' - WebMD

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Drugs can also decrease libido. Many prescription antidepressants can diminish sex drive. Other medications with this side effect include tranquilizers and blood pressure medications . Illicit substances, such as heroin , cocaine , and marijuana , when used heavily and chronically, may lower libido, according to Milsten. He suggests that if a prescription medicine has hampered a man's sex drive to a distressful degree, he should ask his doctor about the possibility of swapping the medication with a similar-functioning one that doesn't cause sexual side effects.

Stress Can Sabotage Sex Drive

Imagine this scenario: You and your dream lover are naked in bed together. Then, all of a sudden, a stranger barges into the room with a gun. You've just lost all interest in sex, and now the only plan you have for your privates is keeping them out of harm's way. In short, you've reprioritized your activities as a survival instinct. This is an extreme example, but any kind of serious stress -- whether related to work, relationships, or any other area of life -- is going to diminish your sex drive. To have a healthy libido, you need to be engaged in the moment -- not angry or hurt. If you're having shouting matches with your partner, your libido is nearly certain to take a nose-dive, says Milsten. Fortunately, if you work on your differences and good feelings are restored, sex drive is likely to return to baseline levels. Some problems, however, such as depression or anxiety, intense job stress, family worries, serious marital conflicts, experiences of past abuse, or conflicts about sexual orientation may require professional assistance. It is essential to seek such help if negative feelings interfere with the rest of life, if they are overwhelming, or if you are no longer able to experience pleasure.

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What is the best position for a prostate exam?

The easiest for the examiner is to have the patient tuck the knees up to the chest, either in the dorsal lithotomy position or the lateral recumbent position.

emedicine.medscape.com - Digital Rectal Examination Periprocedural Care

Anesthesia

No anesthesia is needed, although in some patients, it may be easier to perform digital rectal examination concomitantly with other procedures that require general or intravenous sedation. Empirically, patients seem to tolerate procedures without anesthesia best when they are fully informed about expectations and are aware of exactly what is being done and when.

Positioning

Multiple positions may be used to accomplish a digital rectal examination. The easiest for the examiner is to have the patient tuck the knees up to the chest, either in the dorsal lithotomy position or the lateral recumbent position. However, the traditional practice in the office-visit setting is to have the patient bend over a table at the waist with the knees slightly flexed, the feet shoulder-width apart, the toes pointed inward, the waist within inches of the table edge, and the forearms resting on the table. The patient should be made to feel as comfortable as possible; to this end, he or she should be afforded privacy and security in a relaxed environment.

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