Sexual problems in CKD
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In this article, we will describe sexual problems in CKD.
Although sexual problems can happen to anyone, you’re at higher risk if you have CKD, especially if you also receive dialysis treatment. Know that it’s not a ‘you’ problem, it’s a CKD problem. The more you know about it, the more you can do to manage your sexual health. Here are a few problems you may have.
Erectile dysfunction (ED)
ED is a common problem in men with CKD. It can be caused by factors such as nerve damage, hormonal imbalances, and side effects of medications used to manage CKD. This damage can reduce blood flow to the penis, causing problems getting or keeping an erection.
High blood pressure and diabetes, which often accompany CKD, can also contribute to ED.
Treatment of ED
Your doctor will begin by looking at any more general problems that may be contributing to impotence. These may include: treating anaemia; increasing the amount of dialysis (if you are on dialysis); changing your tablets.
More specific physical treatments for impotence will then be considered. These may include: medication such as Viagra; hormone injections; use of a vacuum device; penile injection therapy; penile insertion therapy (transurethral therapy); and penile implants.
Kidney transplant. A successful kidney transplant improves the comorbid conditions that lead to ED in CKD patients; thus rates of ED improve post-transplant.
Reduced libido
CKD can lead to a decreased interest in sexual activity, which can be due to fatigue, depression, anxiety, or changes in hormone levels.
Fertility issues
CKD can affect fertility in both men and women. In men, it can lead to reduced sperm count and motility, while in women, it can cause menstrual irregularities and reduced fertility.
Sexual pain
Some CKD patients may experience pain or discomfort during sexual activity, which can be related to physical changes in the body, such as dryness, or psychological factors like anxiety and depression.
Hormonal changes
CKD can disrupt hormone levels in the body, including those related to sexual function. Hormonal imbalances can contribute to sexual problems.
Psychological factors
CKD can have a significant psychological impact. It is common to feel tired and depressed at some point in life, especially while you are dealing with a serious health condition, such as CKD. Living with CKD can be challenging. Many people with CKD often report feelings of depression, anxiety and fatigue, which may lead to less interest and enjoyment in sex.
Treatment of sexual problems
Managing sexual problems in CKD patients often requires a comprehensive approach involving healthcare providers, including nephrologists, urologists, and mental health professionals. Here are some strategies to address these issues.
Medication
Adjusting or changing medications that may be contributing to sexual problems can be considered. However, any changes to medications should be made under the guidance of your doctor.
Lifestyle Changes
Maintaining a healthy lifestyle through diet, exercise, and stress management can help improve overall sexual health.
Psychological support
Counselling or therapy can be beneficial for individuals experiencing psychological issues related to their CKD diagnosis and sexual problems.
Hormone replacement therapy (HRT)
In some cases, hormone replacement therapy may be recommended to address hormonal imbalances.
Sexual counselling
Seeking the guidance of a sexual health counsellor or therapist who specialises in working with individuals with chronic illnesses can be helpful in addressing specific sexual issues.
It’s essential for individuals with CKD to communicate openly with their doctors and nurses about any sexual problems they are experiencing. Addressing these concerns can lead to a better quality of life and improved overall well-being. Additionally, support from a partner and maintaining a healthy, supportive relationship can also be vital in managing sexual issues related to CKD.
Premature menopause (in women)
Premature menopause is common in women with CKD. Although not clearly understood, it’s known that CKD affects how your body makes and releases hormones. Women with CKD tend to have lower estrogen levels because the ovaries slow or even stop making this hormone. This can lead to irregular periods, vaginal dryness, and painful sex.
Summary
We have described sexual problems in CKD. We hope it has been helpful.
Last Reviewed on 4 March 2024