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Medicine Endocrinology 841b749d

For the following causes of sexual dysfunction, select the most likely clinical feature.Can be caused by high prolactin level.

A
loss of sexual desire
B
failure of erection with absent nocturnal penile tumescence (NPT)
C
absence of emission
D
absence of orgasm with normal libido and erectile function
High-Yield Explanation
High prolactin level suppresses luteinizing hormone-releasing hormone (LH-RH), and can result in low plasma gonadotropin and testosterone levels. It may not be obvious on physical examination. Therapy with a dopamine agonist may lower prolactin levels and reverse impotence.

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