Maylin, who is 36, comments to Manijeh, a pharmacist, that she has experienced a reduction in her sexual desire and response. Manijeh suspects that Maylin's sexual difficulties could be due to the fact that she is taking
A) fluoxetine, which is a SSRI.
B) hormonal birth control.
C) an antihypertensive.
D) All of the above could be causing or contributing to Maylin's sexual issues.

d.    All of the above could be causing or contributing to Maylin's sexual issues.  

Explanation:

People see their sexual desire reduction as normal. The sexual desire varies from person to person and even varies from relation to relation. The desire for sex can be reduced by many of the reasons. There can be a psychological and interpersonal factor that causes sexual desire. It is a diagnosed condition of a person.  

There is much reason reduced the desire for sexual activity:

singing

praying

cooking

and going to church

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