Sex Problems with Renal Failure

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Introduction and safe sex
Are sexual problems common for people with kidney failure?

 Sexual problems are common for men and women who have kidney disease. Not only are emotional problems likely to occur because of the stress of kidney disease, but also there are a number of medical conditions that can affect sexual function and ability to have children, in both men and women.

 Contraception

 Contraception is important for people with kidney disease, just as it is for everyone else. Don’t assume that just because you have kidney failure that you cannot have a child. The coil contraceptive and condoms are safe for people with kidney disease to use. The oral contraceptive pill can cause some complications more frequently in women with kidney disease than in the general population, so needs to be prescribed with care.

 Safe sex and sexually transmitted diseases

 People with kidney disease can get sexually transmitted diseases, so safe sex is important.

 Women
Periods in women with kidney failure and after transplantation

 Irregular periods can occur in women with kidney failure and after transplantation. It is common for women with advanced kidney failure either to stop having periods, or to have irregular periods. However that does not mean these women are completely infertile (unable to have a baby), so contraception should still be used. After a successful kidney transplant, periods usually return to a more normal pattern.

 Should women with kidney failure have hormone replacement treatment?

 Young women on dialysis who have no periods, and all women with kidney disease after the menopause, should consider hormone replacement treatment.

 Sex and dialysis treatment

 Sex is possible for women with kidney failure. Some people worry that the catheter(tube) for peritoneal dialysis, which hangs from the tummy just below the belly button, will stop them having sex. Others worry that a kidney transplant, which is placed low down in the tummy, might also be a problem. Neither of these should prevent anyone on peritoneal dialysis having sex.

 Loss of sex drive and other sexual problems

 Although loss of sex drive can be an emotional problem, women should not think that this is always the case. Problems such as anaemia and hormone deficiency can cause loss of sex drive in women, and these are treatable.

 Men
Loss of sex drive and impotence

 Although male fertility may remain normal with kidney disease, loss of sex drive and impotence (not being able to raise an erection) are very common. There are a number of causes for this, including anaemia and testosterone deficiency. These can be tested for, and in many cases treated.

 Treatment for impotence, including Viagra

 There are a number of treatments available for impotence. The tablet Viagra is not suitable for everyone.

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