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They can check your health and any current medications for likely side effects. You have a condition that hinders blood from entering the penis, like atherosclerosis, diabetes, high blood pressure, or tobacco use. We take vital signs at every office visit for the same reason because problems in these areas are not always obvious, yet if not diagnosed and treated they can cause the patient serious harm. Also, when you are sleep deprived, you will often be less interested in sex. One of the other times a dog penis makes an appearance is if a female dog in heat allows an intact male dog to mount her.