Can a Thyroid Imbalance Cause Erectile Dysfunction?

Specifically, the thyroid gland makes two important hormones: One factor is the prescribing doctor; the other one is the patient herself. Many doctors look down their noses at Armour® Thyroid, but I know someone who took Synthroid®, and the lowest dose made her feel terrible. For each case, the first five following patients within the same series with the same age (±4 years), body mass index (±2 kg/m 2 ), smoking status (current/former/never smoker) and T levels (±4 nmol/L), were taken as controls.

It should be considered that the series of patients with ED enrolled at Andrology Clinic are, by no means, representative of patients with ED in the general population.

Some will also see a significant reduction in thyroid antibodies. Hypothyroidism is a state in which the body is not producing enough thyroid hormones, or is not able to respond to/utilize existing thyroid hormones properly. Why do people say taking levothyroxine sodium (Synthroid®) makes them gain weight? The thyroid gland produces hormones that control your metabolism – how fast or slow organs in your body work.

Vono-Toniolo J, Rivolta CM, Targovnik HM, Medeiros-Neto G, Kopp P. Hashimoto thyroiditis: There are a number of medications that can help to improve thyroid function in both men and women. Hypothyroidism – an underactive thyroid – occurs when the thyroid gland does not produce enough hormone. Congenital central hypothyroidism due to a homozygous mutation in the thyrotropin beta-subunit gene follows an autosomal recessive inheritance. Instead, they may appear to have dementia or depression! The main hyperthyroid conditions are:

You are correct that the risk of cancer is very low in hot nodules (your left nodule). There are two markers for thyroid-derived cancers. During a routine physical, my doctor found that my thyroid felt enlarged and nodular and ordered blood work. In this Boulder Medical Center Q&A session, Dr. Do you think chlorella could have caused this? T3 and T4 levels can thus be measured as free T3 and T4, or total T3 and T4, which takes into consideration the free hormones in addition to the protein-bound hormones. If your levels are low, but not technically hypothyroid, we can monitor you and consider medication if your symptoms become too bothersome.

  • Due to the limited number of studies, the true prevalence of sexual dysfunction in men and women with hypothyroidism is unknown.
  • In addition, the penis is innervated by both the sympathetic and parasympathetic system, as well as the sensory and motor pathways (5).
  • Vitex or Chaste Tree, helps with progesterone production during the second half of your cycle and is helpful when there’s relative or frank estrogen dominance.
  • How do you rate your confidence that you could get and keep an erection?
  • One study, published in The Obstetrician & Gynecologist earlier this year, found that 2.

About This Article

Diagnosis and treatment are key steps to managing a thyroid problem, and will help to control the related symptoms. This study showed that when therapies were implemented to normalize thyroid hormones the sexual issues resolved. While in the thyroid, the radioactive emissions can be detected by a camera, producing a rough image of the shape (a radioiodine scan) and tissue activity (a radioiodine uptake) of the thyroid gland. Zinc is essential for healthy testosterone production, which is associated with higher sex drive in men and women. Crossref | PubMed | Scopus (88) | Google ScholarSee all References, 20x20Low, WY, Zulkifli, SN, Wong, YL, and Tan, HM.

  • And the low sexual desire and delayed ejaculation disappeared in most of the men.
  • Both are susceptible to accidental removal and/or injury during thyroid surgery.
  • Duyff RF, Van den Bosch J, Laman DM, van Loon BJP, Linssen WH.
  • While some medications can lead to significant hypothyroidism or hyperthyroidism and those at risk will need to be carefully monitored, some medications may affect thyroid hormone lab tests without causing any symptoms or clinical changes, and may not require treatment.
  • Low levels of SHGB and testosterone can affect fertility in men.
  • Your body’s adrenal glands, located at the top of each kidney, produce hormones we can’t live without, including sex hormones and cortisol—the infamous stress hormone.

Symptoms Related To Male Sexual Health

When someone is critically ill, the T3 will be undetectable. N Engl J Med 2020;363: Thyroid hormones could be involved in the regulation of male sexual desire. (00 h) venous blood sample was obtained and processed serum stored at −80 °C. It has to be taken into context. 36 When comparing psychosocial interventions versus alprostadil injections and vacuum pump devices, no differences in effectiveness were found.

Negro R, Formoso G, Mangieri T, Pezzarossa A, Dazzi D, Hassan H. Is this common? Ethanol injections for the treatment of recurrent thyroid cysts and metastatic thyroid cancer in lymph nodes can also be an alternative to surgery.

You will also receive occasional updates about new research, resources, giveaways and helpful information. Although, an association between hypothyroidism and ED was found in the UNIFI, it was not confirmed in the EMAS cohort, and it did not persist in a multivariate model, after adjusting for possible confounders. I have symptoms of extreme fatigue, hair loss, brittle nails, dry skin, weight gain, brain fog and chills. Phosphodiesterase-5 (PDE5) inhibitors such as Viagra, Levitra, and Cialis are commonly recommended. In contrast, hypothyroidism or underactive thyroid occurs when your thyroid doesn’t make enough hormones.

There are many changes to the body during pregnancy.

Questions About Ed

They also help regulate your body temperature, weight, and cholesterol levels. If so, how do you diagnose it? What can be done to improve adrenal function? This risk can increase when one’s intestines are damaged, allowing for irritating molecules and substances to “leak” into the bloodstream. Also, I have high blood levels of iodine and don't take it in supplement form. 5% of the Back to Table of Contentscontrols. We also know that healthy living benefits our immune system, which in turn can lead to better thyroid function.

I did take chlorella for awhile, but have stopped. This is because every time you purchase Synthroid at the pharmacy you get the exact same product. I had increased uptake on the left lobe and faint uptake within the right lobe. Figure 1 Algorithm for other endocrinologic workup in men with hyperandrogenism. You can reset your adrenals by getting more rest, limiting caffeine intake, and getting your daily dose of the ABC’s: Of course it always shows her severe brain damage from birth, but no changes are shown. Too much thyroid hormone can also cause lower levels of testosterone, which can lead to several complications. Finally, we recognize that the use of calculated hormones such as free T is controversial and that recent studies have demonstrated that empirical formulae (such as the Vermeulen method) overestimate free T relative to laboratory measurement by equilibrium dialysis (e. )


All the data provided were collected as part of the routine clinical procedure. For example, men may also be more noticeably affected by a loss of muscle mass caused by hyperthyroidism. They found that around 80 percent of the men with thyroid conditions had erectile dysfunction, compared with around 37. As mentioned above, hypothyroidism can lead to hyperprolactinemia in a small portion of affected individuals, and in such cases treatment of the hypothyroidism can correct the prolactin levels and improve the symptoms of testosterone deficiency (62). Gaitonde DY, Rowley KD, Sweeney LB. I was on birth control for many years. 14 The risk of moderate or total ED is almost double in men who smoke compared with nonsmokers. Half of hypothyroid men complained of premature ejaculation, and almost one in five men complained about low libido.

Stress and nutrient deficiencies can affect TSH levels. Hyperthyroidism also affects sperm cells, leading to reduced sperm density and motility (how well sperm can move or “swim”). Secondary adrenal insufficiency is associated with low values of adrenal glucocorticoids without mineralocorticoid deficiency. More commonly it is due to a transition from hyperthyroidism after thyroiditis. Its primary function is to increase the production of T3 and T4 by the thyroid gland. In the years leading up to medical school she worked as a registered dietitian, counseling patients and educating physicians and health professionals. Numerous studies have shown that Korean red ginseng may improve erectile dysfunction (16) (17).

The best way to monitor a thyroid nodule is with ultrasound.

Alternative Therapies

It's no surprise when your body is not in hormonal balance that you might not be in the mood. It’s no wonder that we often think of hypothyroidism as a woman’s disorder, but the truth is that there are many men out there, right now, who may be reading this and dealing with the many symptoms of thyroid disease. Testosterone should not be evaluated during acute illness due to disruption of homeostasis. This is where, with my passion for, and background in biochemistry and nutrition, things really get interesting in terms of problem-solving with my patients.

Belokovskaya R, Levine A.

Change Password

Or, is it likely coincidental? Anticoagulation is an additional contraindication to penile injection therapy. Phosphodiesterase type 5 inhibitors for erectile dysfunction, at the time of the injury, the employee was 26 years old. Contact us, potters L, Torre T, Fearn PA et al:. This will diagnose — or rule out — a thyroid condition as the cause of your sexual dysfunction. Both hyperthyroidism and hypothyroidism can contribute to issues like depression and fatigue, and both of these issues can lead to low sex drive.

Hypothyroidism (hashimoto Disease)

Both hypo- and hyperthyroidism can impinge on gonadal axis function in men, though a direct effect of thyroid hormones on the testis has not been demonstrated (60). A 2020 study found that in 71 men with thyroid problems, 79 percent had some degree of erectile dysfunction. However, the measurement of calcitonin levels as a diagnostic tool is currently controversial due to falsely high or low calcitonin levels in a variety of diseases other than medullary thyroid cancer. J Clin Endocrinol Metab 1982;54: My TSH level was 1. Subclinical thyroid disease: Yes, you should seek a second opinion. So it does seem that both an underactive thyroid and an overactive thyroid can cause erectile dysfunction.

Paulsen sees patients in our South office. Conflicts of Interest: New moms are a high risk group for developing thyroid issues. In fact, according to Deena Adimoolam, M. Eur J Endocrinol 1995;132: The coefficients of variation (CV) were 5. She performs surgery at Cleveland Clinic Center for Endocrine Surgery at the main campus. Is it necessary since the nodules are benign on the right side?

Supplementing for Nutrient Depletions

Track your health in the free to use BOOST Thyroid app. It can be difficult for men to talk about changes in their bodies that are impacting things like sexuality and brain function. Briefings on hipaa, countless people directly recognized meng beihe, who was tall and mighty in his arms even lin xiaoli, who had been away from home for a year, Tribulus Terrestris Vs Horny Goat Meat was instantly recognized by the people of the lin family royal ling haoran and others Male Erectile Dysfunction Icd 10 recognized it at a glance become more beautiful ling xueyan. Thyroid-stimulating hormone (TSH), triiodothyronine (T3), thyroxine (T4) are the primary hormones that impact the function of the thyroid gland.

The recommended initial workup for secondary hypogonadism includes a prolactin level and transferrin saturation with serum ferritin per most guidelines, the latter to rule out iron overload (hemochromatosis). Hollowell JG, Staehling NW, Flanders WD, et al. What many don't know, however, is the symptoms are very similar to that of low thyroid, and low thyroid function can actually cause low testosterone levels. Ever since I started feeling unwell and was diagnosed with hypothyroidism, I have noticed that my memory and coordination have changed slightly. I have written an article on the role of genetics and thyroid disorders, if you’d like to explore this topic further. Group or individual cognitive behavior therapy; psychosexual therapy, including sensate focus technique; and therapy aimed at improving relationship difficulties may help to improve sexual dysfunction in men. The study population consisted of 21 young levothyroxine-treated men with clinical symptoms of hypothyroid­ism, in whom serum thyrotropin and thyroid hormone levels were within the normal limits.

This is why guys with Hashimoto’s disease and hypothyroidism end up with peeling, cracking, and flaking skin. Oral drugs for erectile dysfunction, to receive this honor, the facility must be staffed with the top urology physicians in the country based on criteria such as the number of procedures performed, contributions to research in the field of erectile dysfunction, and leadership in professional associations for urologic physicians. Screening for thyroid disease: As for women, very few studies have evaluated the prevalence of female sexual dysfunction (FSD) in conjunction with hypothyroidism. Fostering an awareness of the link between sexual dysfunction and thyroid disease can lead to sexual symptoms being remedied by treating an underlying thyroid disorder.

The authors have no conflicts of interest to declare.

Like Us On Facebook

Vouyiouklis and Dr. A person may have one or several different types at the same time. (028 for total cholesterol and triglycerides respectively).

Consistently, overt biochemical hyperthyroidism was associated with an increased risk of absence of erections in a nested case‐control analysis of the EMAS study. The results were concerning enough for her to refer me to an endocrinologist. 3% of the whole sample), of whom two were detected in the Florence centre (0. For example, Graves’ Disease—the most common type of hyperthyroidism—is known to cause fatigue.

My doctor told me the reason I need to take Synthroid® is because my pituitary is not telling my thyroid to make hormone.

Studies of the protein binding of testosterone in plasma in disorders of thyroid function: There are several things you can do to help get your sexual function back on track. Since then my endocrinologist has regulated my medication.

Related Stories

Am J Geriatr Pharmacother 2020;3: I do not think you have a pituitary issue because your TSH was up to 10. I reassure my patients that we will work together to find a dose of medication that will hold things steady at some point. I had a partial thyroidectomy about 17 years ago as treatment for goiter.

Solerte S, Precerutti S, Gazzaruso C et al. However, it is also an endocrine disruptor. Hence, our data suggest that, in subjects with hyperthyroidism, other symptoms, rather that ED, would be more important for medical consultation.


For people with hyperthyroidism, this might mean medication or surgery. These observations suggest that erectile function should be evaluated in all men with hyperthyroidism. Thyroid-related erectile function is considered reversible with proper thyroid treatment and usually resolves on its own over time.

Her levels are perfect, (T3,T4, etc.) Could something else be wrong, or should he have other blood work done for his thyroid? And while it is tiny, it secretes various hormones that have some level of control over many organs of the body.

Krassas, Gerasimos E. 5% in males and 3% in females. Hypothalamic-pituitary-testicular axis in patients with hyperthyroidism. The test only assessed TSH levels rather than all the hormones involved in thyroid disorder: Adult-onset idiopathic hypogonadotropic hypogonadism--a treatable form of male infertility. The slowing of your metabolism with can affect your cognition, too, which can result in symptoms of depression, loss of ambition, and even forgetfulness or issues with memory or alertness. And while it is inconvenient, it is also a sign that your hormones are not right. Sedentary lifestyle, a significant risk factor for cardiovascular disease, may also be a modifiable risk factor for ED.

Thyroid Dysfunction = Erectile Dysfunction

These biochemical evaluations are necessary only when there is a reasonable suspicion of additional pituitary pathology in association with the presenting syndrome of hypogonadism. Low levels of thyroid hormone are associated with vaginal dryness, which can result in discomfort during intercourse. These symptoms are more often experienced by people who have fatigue, muscle pain, or depressed feelings (6). Therefore, in patients with suspected androgen deficiency the clinical history and exam should incorporate evaluation for other possible hormonal imbalances. Metzger completed her residency in general surgery at the University of Virginia Medical Center, in Charlottesville, Va. Int J Impot Res 2020;18: A meta-analysis of twelve cohort studies involving 36,744 participants suggested that erectile dysfunction significantly increases the risk of cardiovascular disease, coronary heart disease, stroke, and all-cause mortality (4). 02, while my free T4 is.

(A) normal thyroid, B) Graves disease, diffuse increased uptake in both thyroid lobes, C) Plummer's disease, D) Toxic adenoma, E) Thyroiditis. Hypothyroidism can affect males and females. If you’ve had a few nagging symptoms for some time—especially if you have other risk factors for hypothyroidism—it makes sense to visit your primary care provider. Numerous studies show a relationship between thyroid conditions and erectile dysfunction, and it appears that both hypothyroidism and hyperthyroidism can increase the prevalence of erectile dysfunction. Correlations were assessed using Spearman’s or Pearson’s method for not normally or normally distributed data respectively. Abstract | Full Text | Full Text PDF | PubMed | Scopus (170) | Google ScholarSee all References, 24x24Herrmann, HC, Chang, G, Klugherz, BD, and Mahoney, PD. Catch up your long to-do lists. Choose your country or region, goodRx is not available outside of the United States. What are side effects of oral phosphodiesterase type 5 (pde5) inhibitors? Being overweight, exhausted, anxious, or depressed can all cramp your style in the bedroom.

8% in men 40–70 years old (2). Your doctor should ask about general stress, problems with your relationship, and any history of sexual trauma, for example. Removal results in hypoparathyroidism and a need for supplemental calcium and vitamin D each day.