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SEXUAL DYSFUNCTION IN DIALYSIS PATIENTS

SEXUAL DYSFUNCTION IN DIALYSIS PATIENTS   Sexual dysfunction is commonly observed in patients with chronic kidney diseases . Almost 5...

SEXUAL DYSFUNCTION IN DIALYSIS PATIENTS



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Sexual dysfunction is commonly observed in patients with chronic kidney diseases. Almost 50% of these patients may experience sexual dysfunction symptoms that may appear as👉:

1]    Erectile dysfunction.

2]    Diminished libido (sex drive or desire of sexual activity).

3]    Absent or diminished rate of intercourse frequency.

Of note, can be improved by adequate dialysis. However, complete normalization of this complication is rarely achieved by maintaining on regular dialysis.

Chronic diseases of the human kidney can be complicated by many physiological alterations and hormonal abnormalities, for example (1) impairment of the process of spermatogenesis, (2) diminished testosterone concentration levels, and, (3) Elevated luteinizing hormone (LH), follicle stimulating hormone (FSH) as well as prolactin serum levels. In addition, breast enlargement in male patients (called gynecomastia) can be observed in 30% of males on regular hemodialysis.

Impotence (erectile dysfunction) is usually the main complaint of a male patient with chronic kidney disease. A full detailed history with physical examination is needed to declare cause of the patient’s complaint. However, if there is no obvious cause can be elucidated, an underlying psychological background like persistent stress or depressive illness can be considered.