65 years old male with hypertension, congestive heart failure and peptic ulcer disease came to your office for his regular blood pressure check. Although his blood pressure is now under control, he complains of an inability to maintain an erection. He currently is taking propranolol, verapamil, hydrochlorothiazide, and r pressure is 125/76 mmHg. His pulse is 56 and regular. The rest of the cardiovascular examination and the rest of the physical examination are normal.
Which of the following generally considered the MOST common cause of sexual dysfunction?
A . Panic disorder
B . Major depressive disorder
C . Generalized anxiety disorder
D . Dysthymic disorder
E . pharmacological agents
Answer: E
Explanation:
The most common cause of sexual dysfunction is psychological disease. Dysthymic disorder is one of mood disorders, has similar symptoms of major depressive disorder, but less in severity, present at least for 2 years. Symptoms free period are possible but may not exceed 2 months in 2 years time frame.