Which option is NOT listed as affecting sexual functioning in men or women?

• A. Depression
• B. Colon cancer
• C. Uncontrolled hypertension
• D. Diabetes

Answer: (D)

Sexual functioning is influenced by a mix of mental, physical, and health-status factors. In the material this item uses, depression is listed as a factor that can reduce sexual desire and function, colon cancer and its treatments can disrupt sexual activity through fatigue, body image concerns, or pelvic therapy, and uncontrolled hypertension can impair blood flow needed for arousal. Those three are identified as affecting sexual functioning in men or women. Diabetes, while it can impact sexual function through nerve and vascular changes, is not listed in that particular resource as affecting sexual functioning. Therefore, the option not listed is diabetes. Remember that a source’s lists are specific to that text; broader medical knowledge recognizes diabetes as a major influence on sexual health, but this item is evaluating what the stated material includes.