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Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
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Sexual Function and Testosterone Level in Men With Conservatively Treated Chronic Kidney Disease
Kerstin S Fugl-Meyer1,2, Marie Nilsson1,2, Britta Hylander1,2
11 Karolinska Institute, Stockholm, Sweden.
American Journal of Men'S Health
|April 21, 2017
Summary
Sexual dysfunction is common in men with chronic kidney disease (CKD), impacting quality of life. While CKD stage affects hormone levels, it doesn't strongly correlate with sexual dysfunction in this patient group.
Area of Science:
- Nephrology
- Andrology
- Urology
Background:
- Sexual dysfunction is prevalent but often overlooked in men with chronic kidney disease (CKD).
- Reduced glomerular filtration rate (GFR) in CKD is linked to sexual dysfunction, potentially affecting quality of life.
Purpose of the Study:
- To investigate the relationship between sex hormones, sexual function, and sexual satisfaction in men aged 18-50 with CKD Stages 1-5.
- To analyze how CKD stage influences hormone levels and sexual health outcomes in non-dialysis patients.
Main Methods:
- Evaluated 100 consecutive men with CKD Stages 1-5 (non-dialysis).
- Assessed fasting blood samples for hemoglobin, testosterone, prolactin, and luteinizing hormone.
- Utilized questionnaires: Sexual Complaints Screener for Men, International Index of Erectile Function, and Aging Male Symptom scale.
Main Results:
- Higher CKD stage correlated significantly with lower hemoglobin, total testosterone, and free testosterone levels.
- Higher CKD stage was associated with elevated luteinizing hormone and prolactin levels.
- Sexual function/dysfunction showed no significant association with CKD stage after adjusting for age and testosterone.
Conclusions:
- CKD stage, in conjunction with age, influences testosterone levels in men aged 18-50 with varying stages of CKD.
- Sexual dysfunctions are common in CKD patients but not strongly correlated with measured hormone levels or specific survey responses.
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