A 65-year-old man comes to the clinic for follow up after discharge. 3 weeeks ago, he had a myocardial infarction and a drug- eluting stent was successfully placed. He has no symptoms now and feels well. He states that since discharge hasn't sexually well and he has had difficulty maintaining an erection and delayed ejaculation during sexual intercourse, but he has normal libido and regular nocturnal erections. Medications include metoprolol, rosuvastatin, aspirin, and ticagrelor. Vital signs and physical examination are normal. Which of the following is the most likely cause of this patient's sexual dysfunction?

Question

A 65-year-old man comes to the clinic for follow up after discharge. 3 weeeks ago, he had a myocardial infarction and a drug- eluting stent was successfully placed. He has no symptoms now and feels well. He states that since discharge hasn't sexually well and he has had difficulty maintaining an erection and delayed ejaculation during sexual intercourse, but he has normal libido and regular nocturnal erections.  Medications include metoprolol, rosuvastatin, aspirin, and ticagrelor.  Vital signs and physical examination are normal.  Which of the following is the most likely cause of this patient's sexual dysfunction?

Quizplus · Accepted Answer

Eductional Objective: A new developed erectile dysfunction after major stressor such as MI with normal libido and nocturnal erection most likely indicates that the patient has psychogenic erectile dysfunction

A 65-Year-Old Man Comes to the Clinic for Follow Up