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SEXUAL DISORDERS AFTER HEART TRANSPLANT
Kamila Fuczyło1, Magdalena Piegza2, Robert Pudlo2
1STUDENTS SCIENTIFIC ASSOCIATION, DEPARTMENT OF PSYCHIATRY, FACULTY OF MEDICAL SCIENCES IN ZABRZE, MEDICAL UNIVERSITY OF SILESIA, TARNOWSKIE GORY, POLAND.
Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|December 14, 2020
Summary
Sexual dysfunction is more common in heart transplant recipients than the general population, with erectile dysfunction being the most frequent issue. Pre-existing sexual problems often persist or worsen post-transplant, impacting quality of life.
Area of Science:
- Cardiology
- Urology
- Psychology
Background:
- Heart transplantation is a life-saving procedure, but post-transplant quality of life, including sexual health, requires further investigation.
- Sexual dysfunction (SD) is a potentialcomplication affecting a significant number of heart transplant recipients.
Purpose of the Study:
- To review and synthesize current knowledge on the prevalence and characteristics of sexual disorders in patients following heart transplantation.
- To highlight the impact of sexual dysfunction on the quality of life in this specific patient population.
Main Methods:
- A comprehensive literature review was conducted using the PubMed database.
- The review encompassed studies published within the last 30 years, analyzing a total of 17 relevant articles.
Main Results:
- Sexual dysfunction, particularly erectile dysfunction, is more prevalent in heart transplant recipients compared to the general population.
- Pre-existing sexual dysfunction often does not improve and may worsen after transplantation, diminishing quality of life improvements.
- While some quality of life improvements are noted post-transplant, they are less pronounced in patients with SD. Some experience increased libido with decreased genital response, negatively affecting relationships and overall well-being.
Conclusions:
- The etiology of SD in heart transplant recipients is multifactorial, potentially linked to immunosuppression, pre-transplant health, and activity levels.
- Despite advancements in longevity and general quality of life post-heart transplant, sexual health remains a significant concern.
- Further research is crucial, particularly focusing on female heart transplant recipients, as current literature predominantly addresses men.
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