Hipotireoza kao uzrok erektilne disfunkcije

Abstract

Introduction: Erectile dysfunction is a significant public health problem. It is estimated that more than 50% of men between the ages of 40 and 70 suffer from the same or intermittent illness. Case report: A 45 years old patient was admitted to the family medicine ambulance for erection problems over the previous 6 months He complained on the ubiquitous absence of morning erection, nocturnal erection and spontaneous erection satisfactory for sexual intercourse. Physical examination reveals an enlarged thyroid gland. Ultrasound detected a non-homogeneous, partially calcified, clearly circumscribed nodule 24 x 30 x 22 mm in the right lobe of the thyroid gland. A diagnosis of hypothyroidism was based on thyroid function test. The patient was referred to a nuclear medicine specialist for Fine needle aspiration biopsy. The cytological finding of the bioptate reveals follicular accumulations of macronuclear thyrocytes of hyperchromatic nuclei (TBSRTC IV follicular tumor) and right-sided lobectomy was performed. Levothyroxine therapy was initiated and six months after that erectile function was normalised. Conclusion: Early detection and adequate treatment of hypothyroidism in patients with erectile dysfunction could result in significant improvement in erectile function.