system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 58-year-old man comes to the physician because of depressed mood for 6 months. He works as a store manager and cannot concentrate at work anymore. He experiences daytime sleepiness and fatigue because he repeatedly wakes up at night and has difficulties falling asleep again after 4 a.m. He reports no longer taking pleasure in activities he used to enjoy, such as going fishing with his son. He has decreased appetite and has had a weight-loss of 5 kg (11 lb) over the past 6 months. He does not have suicidal ideation. He has no history of serious illness and takes no medication. He is divorced and lives with his girlfriend. He drinks several alcoholic beverages on the weekends. He does not take any medications. He is diagnosed with major depressive disorder and a trial of sertraline is suggested. The patient is at greatest risk for which of the following adverse effects?
assistant
Delayed ejaculation