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Nephrology Survey on Reproductive Health and Kidney Disease
Nedas Semaska1, Rachael Nolan2, Darren Lee1
1MS3, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
Kidney International Reports
|February 2, 2026
Summary
Nephrologists report low confidence and infrequent discussion of reproductive health for women with chronic kidney disease (CKD). Standardized guidelines are needed to improve care and contraceptive counseling for this vulnerable population.
Area of Science:
- Nephrology
- Reproductive Health
- Women's Health
Background:
- Chronic kidney disease (CKD) affects women of childbearing age, increasing pregnancy risks.
- Contraceptive use and reproductive health discussions are notably low in this demographic.
- Nephrologists' perspectives on managing reproductive health for CKD patients are largely unexplored.
Purpose of the Study:
- To assess US nephrologists' practices and confidence in providing reproductive health care to female CKD patients.
- To identify barriers and facilitators influencing reproductive health counseling by nephrologists.
- To evaluate the need for standardized guidelines in managing reproductive health for women with CKD.
Main Methods:
- A cross-sectional study utilizing a 52-item electronic survey distributed to US nephrologists.
- Descriptive and bivariate analyses were performed to examine practices and confidence levels.
- The survey assessed discussions on sexual dysfunction, menstrual disorders, and contraception.
Main Results:
- Most respondents infrequently addressed reproductive health issues, with over half lacking confidence in managing sexual dysfunction and menstrual disorders.
- Key barriers included lack of standardized guidelines, limited time, and knowledge gaps.
- Nephrologists seeing more female CKD patients annually reported higher confidence in managing contraception and breastfeeding.
Conclusions:
- US nephrologists exhibit limited confidence and inconsistent practices regarding reproductive health counseling for female CKD patients.
- There is a clear need for a standardized national approach and best practices to guide care.
- Improving reproductive health counseling is crucial for the well-being of women with CKD.
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