Michael is a 70-year-old man. He notices that ejaculation takes longer during sexual intercourse and its force is less than it was before. Also, the refractory period extends up to 48 hours after an erection. He is depressed and consults a sexologist. The doctor is most likely to advise that

A) Michael should take high doses of supplemental testosterone daily.
B) Michael will not be able to enjoy sex anymore.
C) Michael is experiencing changes that are perfectly normal.
D) Michael should undergo expensive surgeries to correct his erectile dysfunction.

As men age, changes in sexual functioning are normal and to be expected. Ejaculation may take longer, and the force may be weaker. The refractory period may also extend. These changes are not necessarily a cause for concern and are not something that requires surgical or medical intervention. The sexologist is likely to reassure Michael that his experience is normal and help him adjust to these changes. Supplemental testosterone may have potential side effects and risks and is not recommended without a proper medical diagnosis. Telling Michael he will not enjoy sex anymore is inappropriate and may cause further emotional distress.