Could a Thyroid Disorder Such as Hypothyroidism or Hyperthyroidism Be Impacting Your Love Life?

Measuring only a tiny two inches wide, the butterfly-shaped thyroid gland nonetheless plays a major role in determining your overall health. Seemingly minute variations in its function can set off a series of problems that can impact everything from your energy level to your ability to maintain a healthy weight.

If you’re like many patients who have undergone treatment for a thyroid disorder, you were probably surprised to find out just how many elements of your well-being this little gland can impact. But what you might not know is that thyroid-related problems have even been known to rear their head in the bedroom.

On first glance, it may seem unlikely that thyroid issues could inhibit your sexual desire or performance. But once you consider the way that thyroid disorders can broadly impact factors like energy, mood, and metabolism, the interconnection may begin to make more sense.

In fact, both hyperthyroidism and hypothyroidism can affect the libido, although each of these disorders tend to impact sexuality in a different way.

We’ll take a look at the potentially negative effects that the two most common thyroid disorders can have on sexual drive and performance -- and what thyroid patients can do to promote and preserve healthy intimacy.

Hypothyroidism and Sexual Health

Patients suffering with abnormally slow thyroid function know that this disorder can sometimes make even the simplest tasks of everyday life feel like an impossible struggle. Depression, fatigue, low energy, weight gain, lethargy, and exhaustion are facts of life for many hypothyroid patients.

Today, awareness about thyroid health issues is at an all-time high, so it’s easier than ever before for patients with hyperthyroidism to seek out valuable information about many of the symptoms that they face. However, the sensitive issue of sexual health is often not as readily and widely discussed.

The reality is that sexual problems are a common side effect of hypothyroidism. Specifically, many patients with hypothyroidism report having difficulty achieving and maintaining arousal. Researchers believe that these symptoms are attributable to the overall slowdown of the metabolism that hypothyroidism causes.

These problems can make it difficult for hypothyroid patients to achieve intimate satisfaction. But perhaps even more significantly, when one partner experiences a sharp decline in sex drive, these issues can cause deep-seated strain in a relationship, adding additional stress and anxiety to an already difficult situation.

Hyperthyroidism and Sexual Health

Though not as common as hypothyroidism, hyperthyroidism still affects an estimated 4.5 million Americans, many of whom may also experience sexual problems as a result of their disorder. However, the sexual symptoms linked to hyperthyroidism don’t typically follow as clear a pattern as do those that are associated with hypothyroidism; instead, there are several distinct symptom patterns that may emerge.

The first type of sexual dysfunction linked with hyperthyroidism is close to what you would expect: because this disorder speeds up the metabolism, some patients report sharp variations (including, in some cases, sudden increases) in sex drive. In male patients with hyperthyroidism, this can also sometimes result in issues with performance and premature ejaculation.

The second type of sexual dysfunction linked with hyperthyroidism is somewhat counter-intuitive: many patients actually report a decline in overall sex drive, similar to that which is often reported by those with hypothyroidism. How can this be possible, if hyperthyroidism results in an excessively fast metabolism?

At the current juncture, researchers aren’t exactly sure why this happens, but there are two primary theories that have been advanced. First, it is common for patients with hyperthyroidism to actually display many of the textbook symptoms of hypothyroidism as soon as they begin taking corrective medication. In many cases, this period of drug-induced hypothyroidism is temporary, but the rapid changes in the metabolism can cause a turbulent period of adjustment.

Secondly, an alternate explanation that has been advanced for the decline in sex drive sometimes experienced by hyperthyroid patients is garden-variety fatigue. Keeping pace with an overly speedy metabolism can be exhausting, and hyperthyroid patients often struggle with exhaustion as a result. This, in turn, can result in a diminished libido in some people with hyperthyroidism.

Action Plan: Steps to Help Improve Sexual Difficulties

The relationship between these common thyroid disorders and sexual health is very complex, and it is often impossible to predict the way that hypothyroidism or hyperthyroidism will impact each patient’s ability to engage in intimacy. Furthermore, when problems do occur, they can often be hard to rectify completely. You can improve the chances that you will be able to maintain a healthy, positive sexual relationship with your partner by incorporating these hints and tips:

• Adhere as closely as possible to your prescription regimen. Even slight discrepancies in your schedule can lead to thyroid fluctuations that may throw your entire system off balance.

• Maintain a healthy diet and fitness routine. This will help you combat fatigue, improve your self-confidence, and keep your metabolism in check.

• Discuss sexual symptoms frankly and matter-of-factly with your doctor if they arise. It may feel awkward, but physicians are trained to listen to patients’ concerns without passing judgment -- it’s their job. Nipping the problem in the bud as soon as it arises is always the best thing you can do.

• Consider supplementing your thyroid medication with additional hormone treatments. These can help balance the fluctuations that can wreak havoc on your sex drive and performance. Your doctor can help you decide if this is the best option for you.

• If the problem is persistent, consider couples counseling. It may be difficult for your partner to understand that a drastic change in sex drive or performance isn’t a personal rejection. A licensed helping professional may offer the support you both need to work through this sensitive issue in a positive, healthy way.