Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

What change in the male reproductive system with age is recognized?

1. Increased testosterone levels

2. Changes in erectile function

3. Increased fertility

4. No changes noted

The correct answer is: Changes in erectile function

As men age, changes in erectile function are commonly recognized as a significant alteration in the male reproductive system. The aging process can lead to a variety of physiological changes that affect erectile function, including decreased blood flow, reduced sensory stimulation, and hormonal changes such as lower levels of testosterone. As a result, many older men may experience difficulties achieving or maintaining an erection, which may also correlate with other health issues such as cardiovascular disease or diabetes. In contrast, testosterone levels typically do not increase; instead, they may gradually decline, making "increased testosterone levels" an inaccurate representation of age-related changes. Likewise, fertility tends to decrease with age due to diminished sperm production and quality. Lastly, it is incorrect to state that there are no changes noted; significant physiological changes do occur with aging. Therefore, the recognition of changes in erectile function is an accurate understanding of the male reproductive system as it ages.