Page 49 - Beaumont_Book_1
P. 49

Kidney Disease
                                                                          — A Guide for Patients







           For female patients whose menstrual                            or drug treatment may be changed.
        cycle remains, however irregular, it is          “For female            Viagra is commonly prescribed.
        possible    to    conceive.    Although        patients whose         Trials show that about 8 out of 10
        pregnancy is uncommon, some women             menstrual cycle          men benefit with improvement in
        have given birth. Due to risks to the             remains,             erectile performance. Patients
        mother and the high rate of miscarriage,     however irregular,        with angina or heart problems
        patients are normally advised to take          it is possible to      should not take Viagra. It is
        precautions against pregnancy. Some               conceive.”         advisable to consult your unit doctor
        women decide to delay pregnancy for one or                        to ensure that it is a safe option in your
        two years after they have had a kidney                        case.
        transplant.                                              There are many other interventions which are
           Men with kidney disease may have a reduced         performed by specialist doctors e.g., urologists. A
        sperm count and may experience difficulties in        referral is sent from the unit doctor.
        fathering a child. After successful transplantation,     Counselling is recommended for emotional
        sperm numbers generally rise. Men with kidney         problems relating to impotence.
                             disease can have a variety          Many men, who have had difficulty fathering a
                                 of    sexual    problems.    child while undergoing kidney replacement therapy,
           “Men with kidney        These include loss of      have been successful in doing so following
          disease may have a        libido and ejaculatory    transplantation.
         reduced sperm count         problems.                   Communication is the most important factor in
          and may experience            However, the most     any relationship. Wherever there is a problem share
              difficulties in       worrying and most         your feelings and fears with your partner. Nursing
               fathering a         common is impotence.       and medical staff recognise that patients can have
                 child.”          Impotence often has         difficulties in sexual relationships and will gladly
                               physical causes and is         talk to you and your partner. Professional guidance
                         usually a combination of factors.    can help – all that may be needed is a little
        ● Poor blood supply occurs as part of the natural     reassurance.
           ageing process and is common in older men. It is
           particularly common in men with diabetes and
           kidney disease.
        ● The testicles may produce less of the male
           hormone, testosterone.
        ● Some drug treatments can contribute to
           impotency, the biggest culprits being ‘beta-
           blockers’ such as atenolol, propranolol,
           metoprolol and bisoprolol.
        ● Tiredness can affect sexual performance. This
           can be caused by anaemia, under-dialysis or
           other medical problems e.g., heart problems.
        ● Psychological or relationship issues.
           Treatment for impotence is commenced by
        checking out general health. Anaemia, if present, is
        corrected, treatment time may need to be extended


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