Conclusions
Implications for practice: Acquired PE subjects and PE sufferers
who have accompanying erectile dysfunction and/or anxiety may benefit
from thyroid disorder investigation. Screening men for thyroid disease
may also be useful in patients with DE.
Implications for research: With current knowledge of available
studies, we are still far from establishing any conclusion on a causal
relationship between EjD and thyroid disorders. Available evidence
suggests Dopaminergic pathways in the central nervous system that
mediates the emission phase of the ejaculation might be a good research
area for experimental studies that aimed to clarify the interrelation
between thyroid disorder and ejaculatory dysfunction in men. Further
longitudinal studies with a good sample size estimation based on the
population-based prevalence rates of thyroid disorders, using
standardized diagnostic tools (PRO related to ejaculation, measured
IELT, etc.) and an appropriate length of follow–up evaluations may
enhance the quality of scientific evidence on this emerging topic.