It’s a silent disease that’s often
overlooked for fear of something more prominent, but with so many of us already
dealing with the effects of poor kidney health ,it might be time to start
seriously questioning that lack of commitment to your love life.
“Kidney disease is a common condition which
can lead to a range of health complications, such as heart disease. However,
early detection of kidney disease can reduce the associated cardiovascular risk
by 20- 50%.
First, be aware that those most at
risk of developing kidney disease are:
• People with diabetes
• Those who suffer from high blood pressure, have established heart problems or
have had a stroke
• People who are overweight
• People who smoke
Sexuality has physical
and emotional components, both of which can be affected by chronic kidney disease (CKD). Kidney Disease can cause chemical
changes in the body affecting circulation, nerve function, hormones and energy
level. Also, any underlying health conditions that contribute to CKD like high blood pressure or diabetes can affect male sexuality.
Too tired for sex?
Fatigue is one of the
most common symptoms men with kidney disease experience. In the early stages of
CKD, low levels of waste and fluid remain in the body. This can leave you
feeling tired and sluggish. Your doctor can perform tests to determine how much
kidney function you have left. If you are in the later stages of CKD or end
stage renal disease (ESRD), your
doctor may refer you to a renal dietitian. The dietitian will place you on a
kidney-friendly diet designed to limit the amount of waste that can build up in
your body. The less waste and fluid in your system, the better you will feel.
People with ESRD may
feel tired after their hemodialysis session. If you are new to hemodialysis, it may take
several treatments for your body to adjust. Ongoing fatigue should be
discussed with your doctor and renal dietitian. Your doctor can recommend
changes to your dialysis treatment or medicines. Your renal dietitian can help
you go over your food and fluid intake
and make any needed changes.
Low sex drive
Hormones are chemicals
produced by the body’s endocrine system. They play a major role in a person’s
ability to feel sexual desire. The kidneys are part of the endocrine system. The adrenal glands,
located at the top of each kidney, produce certain hormones. If hormone levels
become out of balance, you may experience a decrease in your sex drive.
Your doctor can
perform blood work to determine if your lack of interest in sex is due to your
changing hormone levels. He may prescribe medicine to bring your levels to a
normal range.
Erectile dysfunction
Erectile dysfunction
(ED), commonly called "impotence," affects many men—even those
without kidney disease. An estimated 20 to 30 million men in the U.S. have
problems with impotence. ED can happen when blood vessels and nerves to the
penis become damaged. Without proper blood flow, the penis cannot maintain an
erection.
Diabetes and high
blood pressure affect blood flow and weaken blood vessels. If you have either
of these conditions, follow your doctor’s treatment plan to prevent further
damage.
Sometimes ED is a side
effect of medicines, particularly those taken to control blood pressure. Talk
to your doctor about the medicines you’re taking if you’re experiencing
impotence. Your doctor may be able to make changes to your medications or
suggest treatments for impotence
Psychological effects of CKD on men's
sexuality
Sexuality is not just
about sexual intercourse. It’s also about how people feel and express
themselves. Feeling sexual or attractive becomes more difficult when the body
undergoes unexpected changes. This can affect how people interact with others
and their ability to develop intimate relationships.
Body image
People with CKD may
experience some undesirable changes to their bodies, making them feel less
attractive Symptoms such as breath and body odor, complexion problems, weight
gain or unusual facial or body hair can occur. A man on hemodialysis may feel
self-conscious about how his vascular access site looks and feels. Men on peritoneal dialysis (PD) may worry about the size of their abdomens.
Discuss any uncomfortable physical changes with your partner and your
healthcare team. Some physical changes are temporary, while others may indicate
a health complication.
Worry and stress
Men may feel worried,
anxious and depressed when faced with CKD. This is normal, but these emotions
may cause loss of energy and lower interest in activities, including sex.
If feelings of
depression or sadness last for more than two weeks, tell your doctor and social
worker immediately.
Fear
Some men are afraid
sexual activity may be harmful to their condition or harmful to their partners.
Speak with your doctor about your concerns. In very rare instances, sexual
intercourse may not be possible. But activities such as touching, hugging and
kissing provide feelings of warmth and closeness even if intercourse is not
involved. Professional sex therapists can recommend alternative methods of
sexual expression.
As with any condition, eating
healthily to control your weight and making sure you exercise regularly will
help with kidney function, and being aware of your symptoms is the first step
towards improving your kidneys.