Diseases most frequently found to have adverse effects on sexual functioning include all of the following EXCEPT: a.

Multiple sclerosis or stroke.
b.
Diabetes, cardiovascular disease, and heart attacks.
c.
Arthritis.
d.
Asthma.

The diseases most frequently found to have adverse effects on sexual functioning include multiple sclerosis or stroke, diabetes, cardiovascular disease, and heart attacks, and arthritis. However, asthma is not typically associated with adverse effects on sexual functioning. Therefore, the correct answer is d. Asthma.

To identify the disease that is NOT most frequently found to have adverse effects on sexual functioning, we need to analyze each option given.

a. Multiple sclerosis or stroke: Both multiple sclerosis and stroke can affect sexual functioning due to their impact on the nervous system and blood circulation. These conditions can lead to difficulties with arousal, ejaculation, and .

b. Diabetes, cardiovascular disease, and heart attacks: Diabetes, cardiovascular disease, and heart attacks are known to have adverse effects on sexual functioning. They can cause erectile dysfunction in men and decrease libido and arousal in both men and women.

c. Arthritis: Arthritis primarily affects the joints and does not directly impact sexual functioning. However, it's worth noting that chronic pain or mobility issues associated with arthritis can indirectly affect sexual activity.

d. Asthma: Asthma is a respiratory condition and does not typically have direct adverse effects on sexual functioning.

Based on this analysis, the disease that is NOT most frequently found to have adverse effects on sexual functioning is option d. Asthma.