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Sexual Dysfunction Among Patients With Chronic Kidney Disease
Connie J Wang1, Daniel Cukor2, Kirsten L Johansen3
1Division of Nephrology, Hennepin Healthcare, University of Minnesota, Minneapolis, MN.
Seminars in Nephrology
|January 2, 2022
Summary
Sexual dysfunction is a common yet under-recognized issue in chronic kidney disease patients, significantly impacting their quality of life. Management requires addressing multifactorial causes and tailoring treatments to individual patient needs.
Area of Science:
- Nephrology
- Urology
- Psychology
Background:
- Sexual dysfunction (SD) is prevalent in patients with chronic kidney disease (CKD).
- SD significantly diminishes the quality of life for individuals with CKD.
- Awareness and diagnosis of SD in CKD patients are often suboptimal.
Purpose of the Study:
- To review the multifaceted causes of sexual dysfunction in chronic kidney disease patients.
- To outline current diagnostic challenges and approaches for sexual dysfunction in this population.
- To discuss comprehensive management strategies for sexual dysfunction in chronic kidney disease.
Main Methods:
- Literature review of studies on sexual dysfunction in chronic kidney disease.
- Analysis of etiological factors, including psychological, hormonal, vascular, neurological, and medication-related causes.
- Synthesis of treatment modalities, encompassing general and specific interventions.
Main Results:
- Causes of SD in CKD are multifactorial, involving psychological, hormonal, vascular, and neurological issues, alongside medication side effects.
- Diagnosis is subjective and varies between genders.
- Management strategies include addressing psychological factors, lifestyle changes, dialysis optimization, transplantation, and targeted therapies like PDE5 inhibitors.
Conclusions:
- Sexual dysfunction is a significant complication of chronic kidney disease requiring greater clinical attention.
- A multifactorial approach is essential for managing sexual dysfunction in CKD patients.
- Personalized treatment plans, including non-specific and specific interventions, can improve sexual function and quality of life.
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