A 35-year-old married man presents with inability to attain a sufficient erection during partnered sexual activity for the past 10 months. Erections are preserved during masturbation and upon waking. He has no medical comorbidities and takes no medications. The disorder causes marked distress. According to DSM-5, what is the most appropriate specifier?
- A Generalized type
- B Lifelong type
- C Situational type ✓
- D Acquired type
Correct answer: C. Situational type
Explanation
In DSM-5, Erectile Disorder can be specified as situational if the difficulty occurs only in certain situations, with certain types of stimulation, or with certain partners. Here, erections are maintained during masturbation and morning erections, indicating the problem is context-dependent rather than generalized. The situational specifier is appropriate when preserved function in some contexts demonstrates the capacity for erection is intact.
Reference: Diagnostic and Statistical Manual of Mental Disorders, 5th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.