11th April 2024

A 46-year-old man attends clinic with concerns about his sexual performance.

A 46-year-old man attends clinic with concerns about his sexual performance. He states that since being made redundant, he has experienced difficulties continuing intercourse for longer than a minute before ejaculation. On further questioning, he also admits to having difficulties sleeping, reduced appetite and has re-started smoking. Recently, he has experienced short, self-terminating episodes of shortness of breath and palpitations. What is the most likely cause of this gentleman’s problem?

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