Endocrine oncology

Sexual Function and Depressive Symptoms in Premenopausal Women with Differentiated Thyroid Cancer: A Cross-Sectional Study

ThyroidPublished Cross-sectional study

Authors' conclusion

Sexual dysfunction and depressive symptoms were more frequent in women with DTC than in healthy controls; moreover, among women with DTC, the greatest deterioration was seen in those receiving stronger TSH suppression.

Study context

Population
Premenopausal women with differentiated thyroid carcinoma (DTC) on stable TSH suppression therapy, and healthy controls
Participants
110 vs 40
Exposure
Premenopausal women with DTC on TSH suppression therapy vs healthy controls
  • DTCn = 110
  • Healthy controlsn = 40reference
Outcome
FSD (FSFI) and depressive symptoms (BDI-II)

Main finding

As reported in the abstract

Values

Depressive symptoms

Observational data: associations, not effects.

Further findings

Correlations of Beck Depression Inventory-II (BDI-II), thyroid hormones and antibodies with Female Sexual Function Index (FSFI) and depression

Increased BDI-II scores inversely correlated with FSFI total and subdomain scores (desire, satisfaction, pain)
TSH levels positively associated with FSFI scores; FT4 and FT3 inversely correlated with satisfaction and lubrication
Elevated thyroglobulin antibody levels associated with higher depression scores

Independent associations with female sexual dysfunction (FSD) (logistic regression)

Suppressed TSH and higher BDI-II scores independently associated with higher odds of FSD
  • Multivariable models adjusted for age

Original publication

Sexual Function and Depressive Symptoms in Premenopausal Women with Differentiated Thyroid Cancer: A Cross-Sectional Study. Thyroid. Published 27 February 2026. doi:10.1177/10507256261427804

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