Your male patient is 456 pounds and complains of erectile dysfunction. On physical examination, you note gynecomastia; decreased pubic, facial, and axillary hair; as well as atrophic testes. This is due to:

Question

Quizplus · Accepted Answer

The symptoms described, including gynecomastia, decreased hair growth, and atrophic testes, along with the patient's obesity, suggest an increased conversion of testosterone to estradiol in fatty tissue. This process can lead to a relative estrogen excess, contributing to the observed clinical features.

Your Male Patient Is 456 Pounds and Complains of Erectile