Sexual experience of the chronic peritoneal dialysis patient.

Abstract

The actual and desired frequency of intercourse was studied in 68 randomly selected chronic peritoneal dialysis (CPD) patients. The results were correlated with standard measures of depression (Beck Depression inventory), anxiety (Patient Related Anxiety Scale), physical symptoms (Kupfer-Detre System 2), adequacy of dialysis (KT/Vurea) and nutrition (serum albumin level). In addition, patients assessed their quality of life (PAQOL) using an 1 to 10 analog scale. The mean +/- SD age of all patients studied was 54 +/- 11 yr, the mean dialysis duration was 24 +/- 24 months; 46% of the patients were female, and 34% were diabetic. Sixty-three percent of the patients reported never having intercourse (Group 1), 19% reported having intercourse < or = two times per month (Group II), and 18% reported having intercourse > two times per month (Group III). Dialysis duration, serum albumin level, KT/Vurea, and age were not significantly different among the three groups. Nearly 50% of patients in Group I desired to have intercourse, and 54% of the patients in Group II desired to have intercourse more frequently, Group I patients had significantly higher depression and anxiety scores, more physical symptoms, a poorer overall PAQOL, and less satisfaction with their sexual activity than Group III patients. These results suggest that there is a high prevalence of sexual difficulties in CPD patients. Patients not having intercourse have a poorer quality of life and higher degree of depression and anxiety than patients having intercourse more than two times per month.

Revealing the Connection Between Hemodialysis and Sexual Physiology in Women With End-Stage Renal Disease

“…The present study also found parallel results in the same connection, as the hemodialysis group revealed a 32% lower orgasm score compared to the controls while the pre-dialysis group expressed a 51% decreased orgasm score than controls. Thus the present study is consistent with the findings of Basok et al [ 11 ], Oksuz and Malhan [ 16 ], and Steele [ 25 ] and that in all the domains of FSFI, the pre-dialysis group expressed the least scores.…”

“…Soykan et al also stated a significant association of sexual desire with the duration and frequency of dialysis in patients with CKD [ 24 ]. A similar study by Steele et al exhibited that women with CKD showed an upsurge in sexual arousal by up to 54% after dialysis [ 25 ].…”

Female Infertility in Chronic Kidney Disease

“…Although the burden of sexual dysfunction is difficult to quantify in this cohort, it appears that there is a positive correlation with disease progression and incidence of sexual dysfunction. Sexual desire has been found to be reduced in half of dialysis patients [27]. Even after transplants, sexual dysfunction is found to be more common in transplant patients compared the healthy volunteers [28].…”

“…Medications commonly used to treat people with CKD, including diuretics, beta-blockers, and/or steroids, may all negatively impact sexual functions [29]. Moreover, high rates of negative body image and depression have also been described in women with CKD [25,27,30]. The paucity of data in this field could be owing to a lack of patient drive and voice in this area due to stigma around the subject, but a recent Canadian review highlighted the desire of patients for it to be an important research priority [31].…”