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A physical examination may give clues to systemic problems. For example, when the penis just isn’t understanding of touching, a difficulty within the Central nervous system may be the cause. Abnormal secondary sex characteristics, for example hair pattern or breast implant, can point to hormonal problems, which may imply those hormones is involved. The examiner might look for a circulatory problem by observing decreased pulses inside the wrist or ankles. And unusual characteristics from the penis itself could suggest the foundation from the problem’for example, a penis that bends or curves when erect may be the result of Peyronie’s disease.

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This project was supported, simply, by grant number 90PRRC0002, in the U. S. Administration for Community Living, Department of Health and Human Services, Washington, D. C. 20201. Grantees undertaking projects under government sponsorship should express freely their findings and conclusions. Points of view or opinions usually do not, therefore, necessarily represent official Administration for Community Living policy.

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The presence of medical conditions, including heart problems, diabetes mellitus, and hypertension, was ascertained through self-report. The field technician inventoried all current prescription and nonprescription medications, noting the subject’s stated reason behind using each. Medications were then coded according to the American Hospital Formulary Service classification (26).

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