A 22-Year-Old Man Comes to the Office Due to Erectile

A 22-year-old man comes to the office due to erectile dysfunction and lack of sexual desire.  Medical history is unremarkable.  The patient is in a stable relationship with his fiancé and does not use tobacco, alcohol, or illicit drugs.  Height is 188 cm (6 ft 2 in) and weight is 88 kg (194 lb) .  Examination shows bilateral gynecomastia, sparse facial hair, and small, firm testes.  The penis is normal in size and peripheral vision is normal on confrontation.  This patient would most benefit from which of the following?

A) Aromatase inhibitor
B) Gonadotropin
C) Phosphodiesterase 5 inhibitor
D) Selective estrogen receptor modulator
E) Testosterone

Correct Answer:

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