Assessment of the Thyroid Hormone Abnormalities on Male Sexual Function in Primary Health Care Centerin Makkah City, Saudi Arabia in 2021

Abstract

Background:

Prevalence of thyroid disorders is a very common medical condition. Symptoms of thyroid disorders depending on the condition of thyroid gland functions . The function of the thyroid can be primarily affected from the gland itself (most common) or secondarily affected from higher centers signal in the brain (hypothalamic pituitary axis). This effect on the gland function will result in one of two types of disorders hypothyroidism or hyperthyroidism. Hypothyroidism is the most prevalent type affecting 4-5% in the developed countries. While it’s is more common in areas with iodine deficiency .Thyroid hormones for its relevance to male reproduction in the last few decades. Hyperthyroidism and hypothyroidism both affect testicular functions and influence neuroendocrine regulations over reproductive functions via the crosstalk between the hypothalamic-pituitary-thyroid axis and the hypothalamic-pituitary-gonadal axis. The alterations in the male reproductive hormonal milieu by thyroid hormones may lead to reduced testosterone levels and deterioration of semen quality. However, there are very few reports on the direct effects of thyroid disorders upon testicular functions and semen quality.

Aim of this study: Assessment of the thyroid hormone abnormalities on male sexual function in Primary Health Care Center in Makkah City.

Methods:This is a cross-sectional study among the male patients underwent thyroid hormonal test. Study participants have been recruited from Primary Health Care Center in Makah City, Kingdom of Saudi Arabia; data were collected via an online validated questionnaire. Our total participants were (200).

Results:the Thyroid dysfunction the majority of participants answer no sufferings from thyroid dysfunction were (65.0%). Regarding the If the answer to the previous question is (yes), what is the type of disorder  majority of participants thyroid laziness were (60.0%), regarding the was there a difference in sexual activity the majority of participants were (55.71%), while not suffering from difference in sexual activity were(44.29%).

Conclusion: it's recommended that all male patients who had sexual dysfunction undergo a full investigation of thyroid function, critically and concisely presented an updated concept on general functions of thyroid hormones in the regulation of male reproductive functions. Based on available reports, it also has put forth probable mechanism by which thyroid disorders may affect testicular physiology, resulting in altered semen quality.