Sexual Dysfunction in Women with Diabetic Kidney
Open Access
- 3 September 2014
- journal article
- retracted article
- Published by Hindawi Limited in International Journal of Endocrinology
- Vol. 2014, 1-6
- https://doi.org/10.1155/2014/346834
Abstract
Few studies address alteration of sexual function in women with diabetes and chronic kidney disease (CKD). Quality of life surveys suggest that discussion of sexual function and other reproductive issues are of psychosocial assessment and that education on sexual function in the setting of chronic diseases such as diabetes and CKD is widely needed. Pharmacologic therapy with estrogen/progesterone and androgens along with glycemic control, correction of anemia, ensuring adequate dialysis delivery, and treatment of underlying depression are important. Changes in lifestyle such as smoking cessation, strength training, and aerobic exercises may decrease depression, enhance body image, and have positive impacts on sexuality. Many hormonal abnormalities which occur in women with diabetes and CKD who suffer from chronic anovulation and lack of progesterone secretion may be treated with oral progesterone at the end of each menstrual cycle to restore menstrual cycles. Hypoactive sexual desire disorder (HSDD) is the most common sexual problem reported by women with diabetes and CKD. Sexual function can be assessed in women, using the 9-item Female Sexual Function Index, questionnaire, or 19 items. It is important for nephrologists and physicians to incorporate assessment of sexual function into the routine evaluation protocols.Keywords
This publication has 29 references indexed in Scilit:
- Sexual Dysfunction in CKDAmerican Journal of Kidney Diseases, 2010
- Treatment Options for Sexual Dysfunction in Patients with Chronic Kidney DiseaseClinical Journal of the American Society of Nephrology, 2010
- REPORTS: Summary of the Recommendations on Sexual Dysfunctions in WomenThe Journal of Sexual Medicine, 2010
- Sexual Dysfunction in Women With Type 1 DiabetesDiabetes Care, 2009
- Validation of the Decreased Sexual Desire Screener (DSDS): A Brief Diagnostic Instrument for Generalized Acquired Female Hypoactive Sexual Desire Disorder (HSDD)The Journal of Sexual Medicine, 2009
- Effect of sex hormones on renal estrogen and angiotensin type 1 receptors in female and male ratsAmerican Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 2007
- A Methodology Study to Develop and Validate a Screener for Hypoactive Sexual Desire Disorder in Postmenopausal WomenThe Journal of Sexual Medicine, 2006
- Organic, Relational and Psychological Factors in Erectile Dysfunction in Men with Diabetes MellitusEuropean Urology, 2004
- Safety and Efficacy of Sildenafil Citrate for the Treatment of Female Sexual Arousal Disorder: A Double-Blind, Placebo Controlled StudyJournal of Urology, 2003
- Sexual Dysfunction in Men and Women With Chronic Kidney Disease and End-Stage Kidney DiseaseAdvances in Renal Replacement Therapy, 2003