15th April 2024

A 35 year old male and his 30 year old female partner attend your clinic.

A 35 year old male and his 30 year old female partner attend your clinic. They have been trying for a child for a period of 2 years but have been unsuccessful. On further questioning, the man mentions that he has been feeling quite fatigued along with difficulty maintaining an erection with a loss of morning erections. He has also mentioned that his vision has deteriorated and he struggles with holding tools, in particular he struggles with releasing them after use. What is the most likely cause of his presentation?

Select the SINGLE most appropriate option from the list below. Select ONE option only.