A 54-Year-Old Man Comes to the Office Due to Difficulty

A 54-year-old man comes to the office due to difficulty maintaining an erection for the last several weeks.  He says, "One night I was having sex with my wife and could not maintain an erection.  Since then, it has continued to be a problem."  The patient still has morning erections.  His medical history is significant for hypertension, coronary artery disease, and depression.  He has been married for 20 years but reports that he and his wife have been arguing since he began spending more time at work following a promotion 2 months ago.  His current medications include amlodipine, lisinopril, and bupropion.  Physical examination is unremarkable.  Which of the following is the most likely cause of this patient's erectile dysfunction?

A) Advancing age
B) Antidepressant-induced sexual dysfunction
C) Antihypertensive-induced adverse effect
D) Psychological distress
E) Vascular insufficiency

Correct Answer:

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