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Answer to Case Study #1:Congratulate Ana and praise her for her concern about her health and taking action to protect herself. Explain that many men may experience a loss of sensation from condom use, but that there are ways to address this. Tell her that it is normal for men to experience problems with erections from time to time, particularly if they are using condoms. Assure her that this problem is not her fault. Support her to attempt condom use again with her husband. Give her specific suggestions to enhance sensation for her husband, such as putting a drop of lubricant inside the tip of the condom, applying the condom on him while stimulating him, manually stimulating him for a while before putting on the condom for intercourse, etc. If female condoms are available in your area, discuss with Ana the possibility of her using them. The looser fit may be more comfortable for her husband. Suggest that she invite him to come see you together if she thinks that would be helpful.
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