The Study of Sexual Dysfunction in Patients with End Stage Renal Disease.
- Author:
Jae Young CHANG
1
;
Jin Seok JEON
;
San HWANG
;
Young Chang LEE
;
Jeong Sik HAM
;
Dong Ho YANG
;
Se Yong HONG
Author Information
1. Department of Internal Medicine, Soon Chun Hyang University, Chon An Hospital Chon An, Chung Chung Nam Do, Korea.
- Publication Type:Original Article
- Keywords:
Sexual dysfunction;
End stage renal disease
- MeSH:
Anemia;
Antidepressive Agents;
Coitus;
Dialysis;
Drug Therapy;
Erectile Dysfunction;
Estrogens;
Female;
Humans;
Kidney Failure, Chronic*;
Libido;
Life Expectancy;
Lifting;
Male;
Nervous System Diseases;
Psychology;
Value of Life;
Surveys and Questionnaires
- From:Korean Journal of Nephrology
1998;17(1):91-97
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Sexual dysfunction is a common problem in patients with end stage renal disease. The pathogenesis of this problem is complex, and includes psychological factors, vascular, and neurological disorders, drug therapy, uremic intoxication and hormonal disturbances. However, we don't have any valid report because pathogenesis and physiologic significance is not proved clearly. With the questionnaire that we provided to our patients, we evaluated the sexual dysfunction in patients with end stage renal disease, and we treated our patient with antidepressants for males and estrogen for females. The results are as follows: 1) Sixty patients among 70 answered the sexual question. Among these, 46 patients (76%) complained of sexual dysfunction, 75% of male patients and 58% of female patients complained of impotence and mensturation disturbance, respectively. Especially, female patients complained of loss of libido as a whole. Also they said that they never tried to do anything to recover their sexual dysfunction. 2) After starting dialysis, 57% of patients showed decrease in coital frequency than before. 58% of patients showed no significant change in subjective sezual symptoms after dialysis. 18% of patients showed significant change in sexual function after anemia treatment. 3) Eighty-eight percents of males and one hundred percents of females treated with antidepressants and estrogen, respectively showed no effect. Finally, we found that sexual dysfunction is a common problem in chronic renal failure, but they never try to recover their conditions. Our therapeutic approach was not effective, but dialysis in CRF patient must be used for lifting the value of life, not by way of life extension. In addition we can make more effective treatment through objective study and psychological examination.
