Dear doctor, I was all set to be married to a 42 year old man who told me he has been diagnosed with hypothyroidism and that he has to take medicine for this all his life. He also told me that it is genetic since his mother and sisters also have the condition though not his father. I have also noticed in him some of the symptoms associated with hypothyroidism such as fatigue, weight gain, hoarseness of voice. I wish to know if this means that this will affect his libido or fertility now or in the future, and that if he is likely to be physically fit for marriage. I have heard that Hypothyroidism causes erectile dysfunction and a decrease in sex drive. Is this problem curable or manageable with medicine? Is it a good decision to marry a man at all who is suffering from this condition? Thanks.