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Sexuality and Fertility in Patients with CKD

Dr Leanne Brown, Nephrology Nurse Practitioner - Cape York Kidney Care Program,  Torres and Cape Hospital and Health Service Vice President, Renal Society of Australasia 

Lets Talk about Sex

Chronic Kidney Disease (CKD) can have an enormous impact on sexual functioning both for those with CKD and their partners. The alteration in sexual function can be a result of either physical or emotional changes.
 

Understanding the impact CKD has on sexual functioning and fertility is an important skill for health professionals who care for people with CKD. The prevalence of sexual dysfunction if high and is often neglected. Sexual dysfunction and alterations in fertility can impact quality of life and it is necessary to consider physiological changes and impact of medications for the individual with CKD and other illnesses. Assessment skills and understanding of interventions to support with experiencing sexual dysfunction will be outlined in this presentation. 
 

Sexual dysfunction involves all three stages of the sexual-response cycle and physiological and emotional effects need to be understood. In addition, CKD comorbidities can have a profound impact sexual function and fertility. Assessment of sexual dysfunction and fertility should be key part of our clinical practice. Further research and understanding will help to improve the quality of life for this cohort.