Did you know that thyroid hormone problems can affect more than just our energy levels and weight? It turns out, they can also impact our sexual health too. One of those effects is premature ejaculation. It can be pretty tough on a guy’s confidence and relationships.

But did you know that thyroid problems could be a contributing factor? In this article, ShagLonger will explore the connection between thyroid problems and PE. We’ll discuss the symptoms, diagnosis, and treatment options available. So, if you’ve been experiencing premature ejaculation and haven’t been able to figure out the cause, thyroid problems might be worth exploring. Keep reading to find out more.

Thyroid problems and sexual function

Sexual dysfunctions and thyroid disease are definitely a tricky duo. But, let’s break it down.

Thyroid problems can have a significant impact on sexual function in both men and women. The thyroid gland, located in the neck, produces hormones that play a vital role in regulating metabolism and energy levels. When the thyroid gland is not functioning properly, it can lead to a variety of symptoms, including those related to sexual function.

But, don’t lose hope! The good news is that with proper treatment, these problems caused by thyroid dysfunction can be managed. We will go over those days later in the article but first, let’s take a deeper look at how they can affect you sexually.

Premature ejaculation

There are several common thyroid conditions that may cause premature ejaculation. The most common is hypothyroidism. this thyroid disorder occurs when the thyroid gland is not producing enough hormones. This can lead to symptoms such as fatigue, weight gain, and depression, which can in turn contribute to PE.

Another thyroid condition that may cause premature ejaculation is hyperthyroidism. This occurs when the thyroid gland produces too much hormone, leading to symptoms such as anxiety, insomnia, and rapid heartbeat. These symptoms can also contribute to PE.


This study looked at how a condition called hyperthyroidism (overactive thyroid, that produces too much hormone) affects a man’s ability to control when he ejaculates.

They looked at 49 men with hyperthyroidism and found that 72% of them had a problem with premature ejaculation. They also found that there was a connection between the number of thyroid hormones in the men’s bodies and how quickly they ejaculated. After treatment, the men’s ability to control when they ejaculated improved.

The study concluded that hyperthyroidism can cause premature ejaculation and that this problem can be improved with proper treatment.

It’s important to note that while thyroid problems may contribute to premature ejaculation, they are not the only cause. Other factors such as psychological issues and certain medications can also play a role. However, if you are experiencing premature ejaculation and have a thyroid condition, it is important to talk to your doctor about the potential connection and explore treatment options.

Erectile dysfunction

Many men with thyroid problems can also have erectile dysfunction (ED), which is difficulty in getting or maintaining an erection. Hypothyroidism, (an underactive thyroid), and hyperthyroidism, (an overactive thyroid), can both affect a man’s erectile function. A study published in the Journal of Clinical Endocrinology and Metabolism found that 79% of 71 men with thyroid problems had erectile dysfunction, with it being more common in those with hypothyroidism

Sexual pleasure

Thyroid disorders, specifically hyperthyroidism and hypothyroidism, can negatively impact a woman’s sexual experience by disrupting essential elements such as lubrication, sexual desire, and arousal. 

These conditions affect the hormone receptors in the female genitalia, leading to dysfunction in the autonomic system, which further impairs sexual function. 

The direct impact on sex hormones caused by these thyroid disorders can result in severe sexual dysfunction, including decreased lubrication, making intercourse painful and unpleasant. This can also cause difficulty in becoming aroused and feelings of self-consciousness. 

Although these are thyroid issues in a female and don’t directly impact the male sexual function, if your partner suffers from this it can make for less pleasurable and sometimes even painful sex if lubrication isn’t sorted out.

Low libido

Thyroid disorders, such as hyperthyroidism and hypothyroidism, can have a significant impact on a man’s sexual health, including causing a decreased sex drive.

Hyperthyroidism can lead to a decrease in sex drive through several mechanisms. One of the most significant ways is through the effect of hyperthyroidism on the hormones that regulate sexual function.

Hyperthyroidism can cause an increase in the levels of estrogen, which can lead to a decrease in testosterone levels. Testosterone is the primary male sex hormone and is responsible for maintaining libido and sexual function. A decrease in testosterone levels can lead to a decrease in sex drive.

Hypothyroidism can lead to decreased sex drive through the same mechanism of decreased testosterone levels. Hypothyroidism can also lead to fatigue, depression, and mood disorders, which can contribute to sexual dysfunction and low libido in men. Graves disease is one of the most common forms of hypothyroidism.

In addition to the hormonal effects, thyroid disorders can also have a direct impact on the physical aspects of sexual function. Hyperthyroidism can cause weight loss and muscle weakness, which can make physical activity and sexual activity more difficult. Hypothyroidism can cause weight gain and fatigue, which can also make sexual activity more challenging.

Semen quality

Hyperthyroidism can increase the levels of estrogen in the body, which can lead to decreased testosterone levels and a reduction in sperm production. Hypothyroidism, on the other hand, can lead to an increase in prolactin levels, which can also decrease testosterone levels and affect sperm production. 

It’s important to note that the effects of thyroid disorders on sperm count may be reversible with proper treatment and management of the thyroid disorder. Men who are struggling with PE and infertility should have their thyroid levels checked as part of their evaluation.



Symptoms of thyroid problems and premature ejaculation can vary depending on the underlying cause and severity of the condition. Common symptoms of thyroid problems include fatigue, weight gain, depression, and dry skin.

In the case of premature ejaculation, symptoms may include difficulty controlling ejaculation during sexual intercourse, decreased sexual pleasure, and distress or frustration related to premature ejaculation.


For men experiencing sexual dysfunction, it may be beneficial to undergo a thyroid function test to determine if there is an underlying thyroid issue contributing to the problem. 

Thyroid test

This test involves a blood draw to measure levels of thyroid-stimulating hormone (TSH) and determine whether the thyroid is underactive or overactive. An underactive thyroid, indicated by a TSH level above 5.0 mU/L, can lead to subclinical hypothyroidism and decreased sex drive. On the other hand, an overactive thyroid, indicated by a TSH level below 0.4 mU/L, can lead to thyrotoxicosis and an increased sex drive. 

A normal TSH level should range between 0.3/0.5 to 3.0/5.0 mU/L. This test can also be used to diagnose postpartum thyroiditis and thyroid peroxidase.

PE diagnosis

For premature ejaculation, a healthcare provider will typically perform a physical examination and take a detailed medical history to rule out any underlying medical conditions that may be contributing to the problem. They may also ask about any medications you may be taking and your sexual history.

It is important to note that while thyroid problems can contribute to PE, they are not always the sole cause. Other factors such as psychological issues, medications, and lifestyle factors can also play a role. Therefore, it is important to have a proper diagnosis by a healthcare provider to determine the underlying cause and develop an appropriate treatment plan.


Treatment for premature ejaculation related to thyroid disease may involve starting or making changes to thyroid medication, treating PE directly, or both. 

Thyroid treatments

For example, if a man has hypothyroidism, he may be prescribed levothyroxine or liothyronine. These are synthetic forms of the thyroid hormones thyroxine and triiodothyronine, respectively. (Levothyroxine is sold under the names Synthroid, Tirosint, and others, while liothyronine is sold under the name Cytomel). Both drugs are also available in generic form. 

Studies have shown that men with sexual dysfunction and hypothyroidism who take levothyroxine or liothyronine experience an improvement in their sexual symptoms. Additionally, men who are already taking thyroid medication may experience improvements in their sexual function after adjusting their treatment.

PE treatments

Medications for PE that do not interfere with thyroid medications include selective serotonin reuptake inhibitors (SSRIs) such as dapoxetine (Priligy) and tramadol. These medications work by increasing the levels of serotonin in the brain, which can help to delay ejaculation.

Another option for improving sexual function without interfering with thyroid medication is the use of natural supplements. One popular supplement that has been shown to improve sexual function is Performer 8.

This supplement contains a blend of natural ingredients such as L-arginine, maca root, and horny goat weed that have been shown to improve blood flow, increase libido, and enhance sexual performance.

What Happens If thyroid problems are Left Untreated?

If left untreated, thyroid problems can lead to a number of serious health issues.

Physical problems

Hypothyroidism can cause fatigue, weight gain, and depression and over time, it can lead to high cholesterol, anemia, and even heart disease. It can also affect fertility and pregnancy, and in severe cases, it can lead to a condition called myxedema coma, which is a life-threatening emergency.

Hyperthyroidism can cause weight loss, anxiety, and rapid heartbeat. It can also lead to osteoporosis and atrial fibrillation, a type of heart arrhythmia. In severe cases, it can lead to a condition called thyrotoxic crisis, which is also a life-threatening emergency.

Psychological problems

In addition to physical health problems, untreated thyroid problems can also have a significant impact on mental health. Depression and anxiety are common in people with thyroid disorders and may require additional treatment.

Overall, it is important to have regular check-ups with a healthcare professional and to seek treatment if you suspect you have a thyroid problem. Early diagnosis and treatment can help prevent serious complications and improve overall health.


It is important to note that the first step in addressing sexual difficulties related to thyroid problems is to properly diagnose and treat the underlying thyroid condition. This can include taking medication or undergoing surgery, depending on the specific thyroid disorder.

In addition to seeking medical treatment, there are several coping mechanisms that can help improve sex life in individuals with thyroid problems.

Consult a specialist: Seeing a sex therapist or counselor who is experienced in dealing with sexual difficulties can be extremely beneficial. They can help address a variety of sexual issues, such as low sexual desire, trouble delaying orgasm, and painful intercourse. They can also address any emotional issues that may be contributing to these problems.

Communicate with your partner: Being open and honest with your partner is crucial in addressing sexual difficulties. This can include discussing your needs and concerns, as well as working together to find solutions. Effective communication can greatly improve the outcome of sexual problems.

Dr. Hamza Azam

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *