Cortisol, TSH, and Hormonal Test Report for a Man Suffering from Premature Ejaculation and Erectile Dysfunction

Either hyperthyroidism or hypothyroidism causes weak erection and premature ejaculation.

Case #: 46512

Concern：

I get premature ejaculations and weak erections. Here are the results of some of my tests:

Cortisol Morning (saliva) 8.6 Ok ng/ml 3.7-9.5
Cortisol Noon (saliva) 1.0 L ng/ml 1.2-3.0
Cortisol Evening (saliva) 1.9 Ok ng/ml 0.6-1.9
Cortisol Night (salvia) .6 ng/ml .4 - 1.0

Thyroglobulin antibodies 204 iU/mL <20
Thyroid Peroxidase antis >1000 iU/mL <35

DHEA-S 306 mcg/dl 110-510
FSH 6.9 miu/mL (1.6 - 8.0)
LH 4.4 miu/mL (1.5 - 9.3)
E2 33 pg/ml ( 13 - 54)
Cortisol AM 16.4 mcg/dl ( 4 - 22)

SHBG 32 nmol/L (7 - 44)
T3, FREE 338 pg/dl (230-420)
T4, FREE 1.3 ng/dl (.8 – 1.8)
TSH, 3rd Generation .03 miu/L (.4 - 4.5)

Prolactin 8.1 ng/mL (2.0 - 18.0)
Total Test. 767 ng/dl ( 240 - 827)
Estradiol, Ultrasensitive (LC/MS/MS) 18 pg/ml < OR - 29
DHT 85 ng/dl (25-75)

Discussion：

Cortisol Morning (saliva) and Cortisol Evening (saliva) in your test result show you have a high level of anxiety possibly due to the excessive adrenal medulla function. Your TSH is too low in relative proportion to your T4. Therefore, you have hyperthyroidism. This problem can cause a sympathetic fight-or-flight response during sex, placing your body in a state of stress. All of this can cause premature ejaculation.

I suspect your high Cortisol and DHT levels are driven by hyperthyroidism. This leads to overproduction of the inflammatory hormone prostaglandin E2, resulting in sexual urgency and persistence sexual arousal. Thus, your high DHT level is likely to over-stimulate and inflame your prostate, worsen your premature ejaculation with weak erection condition.

Thyroid Condition Reference Table

*Needs more testing for confirmation

Kelp, Irish Moss, L-Tyrosine, and Guggul from Natural Solution For Rapid Ejaculation with Thyroid Hormone Disorder can help your premature ejaculation by supplying high quality nutrients to your thyroid glands. Research shown that supplementation of these nutrients can increase both basal and post-stimulation TSH and restore the function of thyroid gland for normal production of thyroid hormones. ^[1]

REFERENCE

1. ^Clark CD, Bassett B, Burge MR., Effects of kelp supplementation on thyroid function in euthyroid subjects., Endocr Pract. 2003 Sep-Oct;9(5):363-9.