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Discuss the possible etiology of the following case; back up your assertion(s) with peer-reviewed current evidence

 

 

A 45-year-old male patient presents with complaints of general fatigue, erectile dysfunction, and decreased libido after 5 months of treatment with transdermal fentanyl for severe chronic pain from a shoulder injury suffered during a bouldering accident. 

 

Brain magnetic resonance imaging (MRI) showed no abnormal findings. 

 

Hormone stimulating tests showed that he had hypogonadotropic hypogonadism. 

 

His blood pressure was 92/53 mmHg, heart rate was 67/min

SCIENCE
HEALTH SCIENCE
NURSING
NURS 608

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