Female Sexual Dysfunction in ESRD: An Underappreciated Epidemic?

[摘要] While life-sustaining, chronic dialysis is associated with substantial impairments in health-related quality of life (HRQoL) (1,2). The well-recognized decrements in HRQoL in patients with ESRD are likely related to multiple factors, including functional limitations, impaired social well being, vocational disruptions associated with a thrice-weekly or quotidian treatment, and a large burden of physical and emotional symptoms. Specific symptoms that occur with regularity in patients on chronic dialysis are fatigue, cramping, pain, and dyspnea (3,4). Another symptom that appears to occur frequently in patients with ESRD is sexual dysfunction, etiologies for which include hormonal dysregulation, vascular disease, autonomic dysfunction, medication side effects, and psychologic illness such as depression (5,6).

[学科分类] 泌尿医学

[关键词] Bone marrow necrosis;Sickle cell disease;Hyperhemolysis syndrome