Can thyroid problems contribute to dyspareunia?
Yes, both underactive and overactive thyroid disorders can contribute to dyspareunia by affecting hormone levels, vaginal lubrication, and sexual function.
Detailed Medical Explanation
Thyroid dysfunction alters oestrogen and testosterone metabolism, leading to changes in vaginal tissues, libido, and pain threshold. Hypothyroidism often causes vaginal dryness, while hyperthyroidism can affect mood and arousal. Diagnosis and treatment of thyroid issues can improve symptoms. NHS: Thyroid Symptoms.
Clinical Context
Women experiencing new or persistent dyspareunia should be screened for thyroid disorders, especially with other suggestive symptoms.
Evidence-Based Approaches
NHS and NICE recommend thyroid function testing as part of the assessment for unexplained sexual pain. NHS: Underactive Thyroid.