A male with a thyroid disease is at increased risk for developing a sexual dysfunction.
A man with hyperthyroidism is at risk for:
(1) premature ejaculation
(2) erectile dysfunction
(3) abnormal semen, including decreased motility
A man with hypothyroidism is at increased risk for:
(1) decreased libido
(2) erectile dysfunction
Other considerations:
(1) concurrent diabetes in autoimmune polyendocrinopathies
(2) drug-induced effects
Management:
(1) The thyroid disease should be corrected, with the goal to become euthyroid.
(2) Do not start PDE5 inhibitor therapy for at least 6 months after the patient becomes euthyroid to see if correction of the thyroid disease is sufficient to correct the dysfunction (Krassas et al, 2008).
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