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. 2021 Mar 22;40(1):38–51. doi: 10.5534/wjmh.200184

Table 3. Studies investigating the relationship between thyroid disorders and PE in men.

Study Year Definition of PE Disorder PE prevalence Results
Corona et al [45] 2004 PE was defined as ejaculation within 1 minute of vaginal intromission (as reported by the patient). Hyperthyroidism TSH ↓ 0.2 mU/L 57.1%
TSH ↑ 0.2 mU/L 26.5%
TSH <0.2 mU/L and ED had higher rates of PE. Hyperthyroidism is associated with PE independent of ED.
Carani et al [73] 2005 DMS-IV Hypothyroidism, hyperthyroidism Hypothyroidism 7.1%
Hyperthyroidism 50%
The prevalence of PE decreased from 50% to 15% after 2–4 months of treatment.
Waldinger et al [78] 2005 IELT ≤1 minute Hyperthyroidism - There is no relationship between LPE and hypo- or hyperthyroidism.
Cihan et al [75] 2009 DMS-IV Hyperthyroidism 72.0% Correlation between IELT and TSH levels. Increase the IELT and decrease in the incidence of PE to 25% after treatment.
Cihan et al [76] 2009 Animal study Hyperthyroidism - Hyperthyroid rat ejaculation time is shorter than control and returns to normal after treatment.
Corona et al [30] 2011 PE was defined as ejaculation within 1 minute of vaginal intromission (as reported by the patient). Hyperthyroidism 42.40% TSH level affected the ejaculation time independent of age, testosterone, or prolactin level, and the increase in TSH caused an increase in IELT levels.
Oztürk et al [77] 2012 Unspecified Hyperthyroidism - Hyperprolactinemia was detected in 19 participants (17.8%) and TSH was below normal in 9 patients (8.4%) in the PE group. Mean serum prolactin and free T4 concentrations were found to be significantly higher in the PE group.
Canat et al [32] 2017 PEDT Hyperthyroidism - TSH levels lower in PE men.

PE: premature ejaculation, TSH: thyroid stimulating hormone, ED: erectile dysfunction, DMS-IV: Diagnostic and Statistical Manual of Mental Disorders-IV, IELT: intravaginal ejaculatory delay time, LPE: lifetime pemature ejaculation, PEDT: premature ejaculation diagnostic tool, -: not available.