Chapter 77
Sexual Dysfunction
Suetonia C. Palmer,
Marinella Ruospo,
Valeria Saglimbene,
Giovanni F.M. Strippoli,
Suetonia C. Palmer
Department of Medicine, University of Otago Christchurch, Christchurch, New Zealand
Search for more papers by this authorMarinella Ruospo
Sydney School of Public Health, University of Sydney, NSW, Australia
Search for more papers by this authorValeria Saglimbene
Sydney School of Public Health, University of Sydney, NSW, Australia
Search for more papers by this authorGiovanni F.M. Strippoli
Department of Emergency and Organ Transplantation University of Bari, Bari, Italy
School of Public Health University of Sydney, Sydney, NSW, Australia
Search for more papers by this authorSuetonia C. Palmer,
Marinella Ruospo,
Valeria Saglimbene,
Giovanni F.M. Strippoli,
Suetonia C. Palmer
Department of Medicine, University of Otago Christchurch, Christchurch, New Zealand
Search for more papers by this authorMarinella Ruospo
Sydney School of Public Health, University of Sydney, NSW, Australia
Search for more papers by this authorValeria Saglimbene
Sydney School of Public Health, University of Sydney, NSW, Australia
Search for more papers by this authorGiovanni F.M. Strippoli
Department of Emergency and Organ Transplantation University of Bari, Bari, Italy
School of Public Health University of Sydney, Sydney, NSW, Australia
Search for more papers by this authorBook Editor(s):Jonathan C. Craig MBChB, DipCH, MMed(Clin Epi), PhD, FAHMS,
Donald A. Molony MD,
Giovanni F.M. Strippoli MD, PhD, MPH, MM (Epi),
Jonathan C. Craig MBChB, DipCH, MMed(Clin Epi), PhD, FAHMS
Matthew Flinders Distinguished Professor Vice President and Executive Dean
College of Medicine and Public Health, Flinders University, Adelaide, Australia
Search for more papers by this authorDonald A. Molony MD
Professor of Medicine Distinguished Teaching Professor of the University of Texas System
Division of Renal Diseases and Hypertension AND Center for Clinical Research and Evidence-based Medicine, McGovern Medical School University of Texas, Houston, TX, USA
Search for more papers by this authorGiovanni F.M. Strippoli MD, PhD, MPH, MM (Epi)
Professor of Nephrology Adjunct Professor of Epidemiology
Department of Emergency and Organ Transplantation – University of Bari, Bari, Italy
School of Public Health, University of Sydney, Sydney, NSW, Australia
Search for more papers by this authorFirst published: 18 November 2022
Summary
This chapter examines the evidence for management of sexual dysfunction in adults with chronic kidney disease (CKD). Sexual dysfunction is multifactorial in CKD. The chapter lists the potential factors involved in the pathogenesis of sexual dysfunction for men with CKD that can guide clinical inquiry and examination, and investigation. It also lists the potential factors contributing to sexual dysfunction for women. Sexual dysfunction in men with CKD may be associated with low testosterone levels. Bromocriptine is a dopamine agonist that is used in the treatment of high prolactin levels and associated conditions including hypogonadism, amenorrhea, and infertility. Zinc deficiency may be a factor in gonadal dysfunction and is present in men with CKD. Vitamin E is prescribed for sexual dysfunction based on the potential role of oxidative stress in erectile dysfunction. Lower sexual activity and desire are uncoupled from life and partner satisfaction among dialysis and transplant patients and partners.
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