NASHVILLE, Tenn. -- Women who say a Goodlettsville doctor raped them testified at a hearing on Wednesday and revealed what they claim happened in the privacy of an exam room.

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Dr. Charles Cowden, 74, is accused of inappropriately touching his patients during exams and forcing them to perform sex acts in exchange for prescription drugs.

Cowden was arrested in September and faces rape by fraud and sexual battery by fraud charges involving four different women. The alleged victims are in their 20s and 30s, said police.

The four women who took the stand on Wednesday told the judge that Cowden touched them in their private areas without gloves and without a nurse in the room.

One of the women making the accusations said she went to his office to get care for the flu.

"He tried to pull my thongs down with my pants," one victim testified on Wednesday.

"The only person that I know of that even goes below my waist is my gynecologist," said another victim.

Some of the women testified that Cowden asked them upfront what medication they would like. One woman said she was given the drug Xanax during her visit, even though she said she wasn't supposed to take it.