A 46-year-old male patient presents to the office with complaints of difficulty maintaining an erect

A 46-year-old male patient presents to the office with complaints of difficulty maintaining an erection for the past six months and is becoming embarrassed and frustrated. He has a decreased sex drive. He states he is in a supportive relationship with his wife of 9 years. He works as an accountant with a relatively sedentary lifestyle due to his career. He states that he does experience anxiety with his job. He has a history of hypertension and is currently taking medication to manage his blood pressure. He states he has had an increase in his weight and polyuria. He denies smoking and recreational drug use but does socially drink on the weekends. what are the differential diagnoses?

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