Sexual Dysfunction Among Patients with End-Stage Renal Disease Undergoing Hemodialysis: Prevalence and Associated Factors

Shakiba, Mansour; Bakhshani, Nour-Mohammad; Soorgi, Zohre; Lotfinia, Shahab

doi:10.5812/ijpbs.99383

Cited by 5 publications

(8 citation statements)

References 33 publications

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“…This finding is supported by other studies as well [ 7 , 16 ]. Moreover, some authors described pain as the least common problem [ 18 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

Sexual Dysfunction in Female Patients Undergoing Hemodialysis and Its Relationship With Anxiety and Depression

Shah¹,

Sajjad²,

Hassan³

et al. 2022

Cureus

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Hypertension (56.4%) was the leading cause of chronic kidney disease (CKD). The most serious problem of the patients was sexual arousal suggested by the low mean score (1.77 ± 2.27) as compared to other sexual domains. Anxiety and depression were found in 20% and 30.9% of patients, respectively. There was a significant negative correlation between age ((arousal: r= -0.297, p= 0.028), (lubrication: r= -0.274, p= 0.043), (orgasm: r= -0.298, p= 0.027), and (pain: r= -0.271, p= 0.045)) and depression ((desire: r= -0.465, p= <0.001), (satisfaction: r= -0.366, p= 0.006)) with sexual function. While anxiety was not significantly associated with sexual function ((desire: r= -0.347, p= 0.069), (arousal: r= 0.053, p= 0.700), (lubrication: r= 0.061, p= 0.658), (orgasm: r= 0.047, p= 0.736), (satisfaction: r= -0.113, p= 0.410) and (pain: r= 0.045, p= 0.746)). ConclusionSexual dysfunction is not uncommon in female hemodialysis patients. There was a significant negative correlation of different sexual domains with age and depression, respectively. The correlation of anxiety with sexual dysfunction was found to be statistically insignificant.

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“…This finding is supported by other studies as well [ 7 , 16 ]. Moreover, some authors described pain as the least common problem [ 18 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

Sexual Dysfunction in Female Patients Undergoing Hemodialysis and Its Relationship With Anxiety and Depression

Shah¹,

Sajjad²,

Hassan³

et al. 2022

Cureus

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“…13 Sexual dysfunction is a common problem among patients undergoing hemodialysis. 14 ED in males, menstruation abnormalities in females, and decreased libido and decreased frequency of sexual intercourse in both sexes are a few to mention. 15 Cause of SD is usually multifactorial in origin and psychological factors play an important role.…”

Section: Discussionmentioning

confidence: 99%

Sexual dysfunction in female and male patients undergoing chronic ambulatory peritoneal dialysis

Yazıcı

Yeksan²

2022

Int J Artif Organs

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Background: To prolong survival and to provide a better quality of life (QoL) are two aims at the forefront in the care of peritoneal dialysis (PD) patients. In this study we aimed to determine frequency of sexual dysfunction (SD) and influencing factors in PD patients. Methods: Of the 201 patients, 114 under 65 years and on chronic ambulatory PD for at least 3 months were enrolled. Forty-nine females and 65 males completed the study. Survey forms were applied using face-to-face interview method. Female Sexual Function Index (FSFI) was used to assess SD in women; International Index for Erectile Function (IIEF) was used to assess erectile dysfunction (ED) in men. All patients completed SF-36 and Beck Depression Inventory (BDI) forms. Results: While SD was evident in 89.8% of female patients (FSFI score:10.4 ± 9.7), ED was present in 87.7% of males (IIEF score:13.8 ± 7.9). Depression rates were 65.3% and 49.2% in female and male patients, respectively. BDI scores were 21.6 ± 10.4 and 17.1 ± 9.5; physical component scores, 52.6 ± 20.4 and 55.2 ± 20.2; mental component scores, 45.2 ± 19.8 and 49.9 ± 22, in female and male patients, respectively. FSFI was correlated with age (β = −0.53 p < 0.001) and BDI score (β = −0.23 p = 0.04), ( R2 = 0.64). ED showed correlation with age (β = −0.36 p < 0.001), BDI score (β = −0.57 p < 0.001), and hemoglobin level (β = 0.26 p = 0.003), ( R2 = 0.74). Conclusion: SD, often overlooked and not discussed by both patients and physicians, is encountered relatively frequently among PD patients. Left not discussed and untreated SD may adversely affect QoL.

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“…In hemodialysis patients, hormonal and brain changes could lead to sexual dysfunction, along with physical weakness, fatigue, and body image disorders (24). Given the lack of improvement in brain and hormonal changes by cold dialysis, this type of treatment cannot enhance all the domains of physical dysfunction.…”

Section: Discussionmentioning

confidence: 99%

Effect of Cold Dialysis Solution on the Sexual Dysfunction of Patients with Chronic Renal Failure Undergoing Hemodialysis: A Randomized Clinical Trial

et al. 2021

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Background: The present study aimed to evaluate the effect of cold dialysis solution on the sexual dysfunction of patients with chronic renal failure undergoing hemodialysis. Methods: This randomized clinical trial was conducted with a before and after parallel design among 60 hemodialysis patients diagnosed with sexual dysfunction. The selected subjects were randomly allocated to the two groups of experimental and control (30 per each). Patients in the experimental and control groups underwent hemodialysis for one month using 35.5°C and 37°C dialysis solutions, respectively. Following the procedure, male and female sexual function was assessed in the study groups. Data were collected using the International Index of Erectile Functions, the female sexual function index (FSFI), and a demographic questionnaire. Data analysis was performed using Chi-square, Fisher's exact test, Mann-Whitney U test, t-test, paired t-test, and Wilcoxon test at 95% confidence interval. Results: No significant difference was observed between the experimental and control groups regarding male sexual function before and after the intervention (P > 0.05). However, the Mann-Whitney U test indicated a significant difference in the female subjects’ arousal in the experimental group before (3.68 ± 0.38) and after the intervention (3.98 ± 0.46; z = 2.216; P = 0.027). Conclusions: Cold dialysis solution could only increase the sexual arousal of the women in the experimental group, and no changes were observed in other sexual function domains of the male and female patients. Given the short duration of our intervention, it is recommended that further longitudinal studies be performed on larger cohorts of patients in different geographical regions.

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Sexual Dysfunction Among Patients with End-Stage Renal Disease Undergoing Hemodialysis: Prevalence and Associated Factors

Cited by 5 publications

References 33 publications

Sexual Dysfunction in Female Patients Undergoing Hemodialysis and Its Relationship With Anxiety and Depression

Sexual Dysfunction in Female Patients Undergoing Hemodialysis and Its Relationship With Anxiety and Depression

Sexual dysfunction in female and male patients undergoing chronic ambulatory peritoneal dialysis

Effect of Cold Dialysis Solution on the Sexual Dysfunction of Patients with Chronic Renal Failure Undergoing Hemodialysis: A Randomized Clinical Trial

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