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 patient's obesity has led to the conversion of testosterone into estradiol in the fatty tissue, resulting in gynecomastia, decreased pubic, facial, and axillary hair, and atrophic testes. This is known as aromatization and is the cause of his erectile dysfunction. Vascular disease affecting the testes would result in testicular failure, but would not explain the other symptoms observed, while androgen resistance of fatty tissue is not a recognized medical condition. Therefore, choice B is the best option.

Your Male Patient Is 456 Pounds and Complains of Erectile