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A 20-Year-Old Man Comes to the Office Due to Lack

Question 278

Multiple Choice

A 20-year-old man comes to the office due to lack of sexual interest. The patient is in a stable relationship with his fiancé and does not use tobacco, alcohol, or illicit drugs but he avoids any intersexual course due to erectlie dysfunction which becomes more embarassing. Height is 188 cm (6 ft 2 in) and weight is 88 kg (194 lb) .  Examination shows bilateral gynecomastia, sparse facial hair, and small, firm testes.  The penis is normal in size and peripheral vision is normal on confrontation.  This patient would most benefit from which of the following?


A) Aromatase inhibitor
B) Gonadotropin
C) Phosphodiesterase 5 inhibitor
D) Selective estrogen receptor modulator
E) Testosterone

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