For the following causes of sexual dysfunction, select the most likely clinical feature.Can be caused by vascular disease.
Vascular disease, by itself or in conjunction with peripheral neuropathy in DM, is a common cause of erectile dysfunction. The lesions can be in large vessels (aortic occlusion, Leriche syndrome), small arteries, or even in the sinusoidal spaces.
loss of sexual desire
failure of erection with absent nocturnal penile tumescence (NPT)
absence of emission
absence of orgasm with normal libido and erectile function
Endocrinology