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Sexual function in women receiving maintenance dialysis.
Srikanth Seethala1, Rachel Hess, Maurizio Bossola
1Department of Medicine, University of Pittsburgh Medical Center, Mercy Hospital, Pittsburgh, Pennsylvania 15240, USA.
Hemodialysis International. International Symposium on Home Hemodialysis
|September 18, 2009
Summary
Sexual dysfunction is highly prevalent in women undergoing chronic dialysis, affecting even those who are sexually active or partnered. A significant gap exists in patient-provider communication and treatment for this common issue.
Area of Science:
- Nephrology
- Urology
- Women's Health
Background:
- Sexual dysfunction is a recognized complication in men with end-stage renal disease (ESRD) on dialysis.
- Limited research exists on the prevalence and management of sexual dysfunction in women with ESRD.
Purpose of the Study:
- To assess the prevalence of sexual dysfunction in women on chronic dialysis.
- To determine if these women discuss sexual dysfunction with healthcare providers and receive treatment.
Main Methods:
- Prospective enrollment of women undergoing chronic hemodialysis or peritoneal dialysis.
- Utilized the 19-item Female Sexual Function Index (FSFI) to evaluate sexual function.
- Administered a survey on patient-provider discussions and treatment for sexual dysfunction.
Main Results:
- 80% of 66 women on dialysis exhibited sexual dysfunction based on FSFI scores.
- Sexual dysfunction was prevalent (73%) even in married or cohabiting patients.
- Only 21% of affected patients discussed the issue with providers, and 6% received treatment.
Conclusions:
- Sexual dysfunction is a common and often unaddressed problem for women with ESRD on dialysis.
- There is a critical need to improve communication and treatment accessibility for sexual health in this population.
- Healthcare providers should proactively screen and discuss sexual health concerns with women on dialysis.
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