The patient should be positioned for comfort, ., in Sims position (lying on the left side with knees and hips comfortably flexed). A chaperone and/or a drape should be provided for patient safety, comfort, and dignity. After an explanation of the procedure to the patient, several mL of surgical lubricant are placed on the examiner's glove, usually on the index finger. The examiner visually inspects the anus and perineum, then places the gloved finger on the anal opening while asking the patient to bear down gently. After the finger enters the anus, it is used to sweep circumferentially around the interior of the distal intestine. It is then directed anteriorly (when examining a male patient) to evaluate the consistency, size, and nodularity of the prostate gland. Samples of stool obtained during the exam may be sent to the lab to test them for the presence of occult blood.
As an example, should you choose to run a cycle that includes both Dianabol and Anavar, you will need to be extremely careful when it comes to overlapping them. The two are both hepatotoxic, which means they will cause liver damage. You will need to consider this carefully when it comes to choosing cycle lengths. If you take Dianabol for four weeks at the beginning of your cycle, then make the switch to Anavar, you should limit your Anavar use to four weeks, as well. This reduces your entire cycle time to eight weeks, which helps to alleviate some of the risk of liver damage.