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Sexual complaints in men suffering from kidney disease

Many men with chronic kidney damage experience sexual problems. Like less sense of sex and erection problems.

Sex hormones play a role in sexual excitement. The hormone testosterone affects men and women in having (and getting) a sense of sex. In the case of kidney damage, testosterone decreases. The sense of sex can therefore decrease.

In addition, erection problems can arise.

Erection problems

With sexual excitement, more blood goes to the penis. This makes the penis stiff. Approximately 7 out of 10 men with chronic kidney damage or kidney failure get erection problems. This means that it is more difficult to stiffen the penis or keep it stiff.

  • Sometimes an erection is no longer possible at all.
  • Sometimes the sensitivity of the penis is reduced by neuropathy (nerve pain). To get excited then you need stronger sexual stimuli than you might have been used to.
  • If you do not have an erection, sexual intercourse is not possible, but enjoying sex and getting an orgasm is often possible. Due to the reduced feeling, the perception of the orgasm can be different.

Sometimes there is an orgasm but no ejaculation anymore. The sperm then ends up in the bladder. This is also called dry cumshot. It does not hurt: you just piss out the semen.

Causes erection problems

There are several causes of erection problems:

  • high blood pressure
  • medicines
  • testosterone deficiency
  • overweight or an unhealthy lifestyle
  • fear of failure or other worrisome thoughts

Kidney damage often involves high blood pressure. That affects the blood vessels. As a result, there is insufficient blood in the penis during sexual excitement. The penis then only gets half stiff, or not at all. It is also possible that there is enough blood to go to the penis, but that it is drained too quickly. Then the penis will swell, but it will not stay stiff for long.

Medications can also prevent an erection. Blood pressure lowering drugs sometimes ensure that there is insufficient blood to the penis during excitement. This also applies to certain sedatives if you use them for a long time.

Sometimes medication for the treatment of kidney disease leads to a shortage of testosterone. Then your penis and your brain are less sensitive to sexual stimuli. Overweight can worsen testosterone deficiency.

Fear of failure or other worrisome thoughts

In the case of erectile problems caused by kidney damage, emotional problems often arise fear of failure or other worrisome thoughts. If one fails to get an erection, the man can be afraid in advance that it will not work again next time. If all the attention goes to the erection, there is no attention for the love game. The man is more of a spectator who looks critically at whether the penis stays stiff. As a result, he does not notice sexual stimuli and loses the erection.

In case of fear of failure, there is also a good chance that the man (unwittingly) tightens the muscles of the pelvic floor too much. These are the muscles with which you stop your pee. If the muscle tension in the pelvic floor is too high, the blood circulation of the penis does not start with sexual excitement. Then there is no erection.

If the erection problems persist, there may be guilt that your partner suffers from your problems.

Discuss your problems

Are you less easily sexually stimulated? Or do you have other erection problems? Talk about it with your nephrologist in Delhi. Or discuss it with your best sexologist in Delhi. It can also help you to discuss sexual problems if you find it difficult.

Your best nephrologist in Delhi will talk to you about your problems, or refer you to a urologist or sexologist. Check whether the amount of testosterone in your blood can be measured. In a conversation, you will discuss together what causes your sexual problems. In addition to physical obstacles, emotional matters usually also play a role. Think of anxiety, fatigue, shame or guilt.

Treatment options

There are different treatment options for men with sexual problems.

  • more and stronger stimulation of the penis. For example, with lubricant, hand or mouth
  • a penis ring
  • erection pills
  • injections with a substance into the erectile tissues of the penis
  • good nutrition and enough exercise
  • the lovemaking plan at times when you are not too tired

Erection pills ensure that the erection lasts longer with sexual stimulation. Such medicines are only available on prescription. Erection agents are also offered on the internet, but that is not recommended: these resources are not reliable.

Always consult your kidney specialist in Delhi if you want to use resources to solve your erection problems. Your doctor knows which are safe for you and how to use them.

Solutions for fear of failure and worrisome thoughts

You can prevent fear of failure by (seeing) learning sex as something you enjoy. And not as something for which you have to perform.

  • Relax your body and your pelvic floor muscles.
  • Focus on what feels pleasant in your body.
  • Do not put yourself under pressure, for example with the idea that you should be able to have a community.
  • You and your partner may have just as much pleasure with stimulation by mouth or hand.

Because of worrying thoughts about sex, it is often difficult to pay attention to what you find exciting. It is then more difficult for you and your partner to enjoy sex.

Do you already suffer from fear of failure or other worrying thoughts? And keep it on? Talk about it with your partner. Feel free to ask help from a healthcare provider if the problems persist. For example your top nephrologist in Delhi, or a sexologist in Delhi.

kidney disease

Treatment of Chronic Renal Failure

The chronic renal failure (CRF) is a disease characterized by the progressive deterioration of renal function which results in the kidney loses the ability to make urine, and in turn to remove toxins from the blood, among other functions they are necessary for life.

kidney disease

A patient is considered to have Chronic Renal Insufficiency when he has a glomerular filtration rate lower than 60ml / min / 1.73m2, resulting from structural or functional abnormalities of the kidney, for at least three months.

Among the kidney’s own functions that are altered in renal failure are:

  • The acid-base and electrolyte balance, necessary to maintain the pH and the amount of water and salts that the body needs (sodium, potassium, and phosphorus)
  • Elimination of toxins.
  • Endocrine functions, such as the production of erythropoietin necessary for the production of red blood cells, and avoid anemia.
  • Regulation of calcium metabolism (essential for the proper function of bones)

These are some of the substances that accumulate in blood product of cell metabolism and that in the case of suffering from renal failure are not eliminated properly, and can be harmful when they accumulate in the blood:

  • Urea
  • Creatinine
  • Ureic Nitrogen in Blood (BUN)
  • Sodium (present in salt): Favors the retention of liquids
  • Potassium (present in fruits, vegetables, and nuts): as a serious consequence among others can produce an irreversible cardiac arrest.
  • Phosphorus (present in bread, dairy, and pastries): In excess produces itching and contributes to vascular calcification.
  • Excesses of water (come mainly from drinks and meals): Increases blood pressure, and can lead to acute pulmonary edema, which is a serious condition, where the lung cannot exercise its function to oxygenate the blood because occupied by liquid.

Causes of the CRF

Causes that can cause Chronic Renal Insufficiency:

  • Infections of either the urinary, kidney or systemic pathways that affect the kidney (for example pyelonephritis)
  • Medications that affect the kidney (for example chronic interstitial nephritis, caused mostly by non-steroidal anti-inflammatory drugs, such as ibuprofen and diclofenac and some antibiotics, among other medicines)
  • Injuries, tumors
  • Acquired or hereditary renal diseases (for example, glomerulonephritis or polycystic kidney disease in more than 20%)
  • Diabetes mellitus (more than 20%)
  • Hypertension
  • Atherosclerosis (fatty deposits, as cholesterol, inside the arteries, in more than 15%)
  • Systemic hereditary diseases with kidney involvement
  • Urinary tract stones

Symptoms of CRF

The symptoms of advanced chronic renal failure (CRF) are mainly associated with the retention of urea and electrolytes such as phosphorus and potassium, and fluid retention, with edema in the legs (swollen legs) and shortness of breath (edema) in lung; also when the levels of urea are very high the following signs and symptoms may appear:

  • Tiredness
  • Nausea
  • Vomiting
  • Loss of appetite
  • Weight loss
  • Headache
  • Insomnia
  • Numbness or muscle pain in arms and/or legs
  • Spiked
  • Blurred vision
  • Heart problems
  • Anemia and malnutrition
  • Edema in the eyelids and legs (fluid retention)
  • Osteodystrophy (decalcification and fragility of the bones)
  • Stomach discomfort (gastritis)

Treatments: hemodialysis and peritoneal dialysis

Techniques of renal replacement therapy: Hemodialysis or Peritoneal Dialysis

Among the techniques of renal replacement therapy, that is to say, those that will supply kidney function, when they present a significant deterioration of between 5-15% of their capacity, it is necessary to choose the technique depending on the characteristics of the patient and the recommendations of your nephrologist.

In both cases, once the treatment is started, both hemodialysis and peritoneal dialysis recover the feeling of well-being and improve the functioning of the body’s systems.

Kidney transplant

Kidney transplant in Delhi is the best renal replacement therapy because it offers the possibility of a better quality of life by restoring all affected functions and eliminates the need for chronic dialysis. A transplanted kidney can work well for many years, depending on the general health of the recipient and the characteristics of the donor’s kidney.

In any case, before being a candidate for a kidney transplant recipient, additional tests should be performed to ensure optimal performance, since it requires immunosuppressive drugs, that is, they depress the body’s natural defenses and predispose other diseases of an infectious nature, as well as the success of surgery, since it does not stop being a surgical intervention with its risks. So not all patients are suitable for such intervention, should be assessed by a nephrologist in Delhi and the transplant team.

Acute Kidney Disease Treatment by Best Nephrologist in Delhi

According to Best Nephrologist in Delhi Dr. Vinant Bhargava, an acute renal disease is basically a problem that lots of people have wherein the kidney does not separate waste from blood likewise it could. The kidney is a vital organ who performs many functions in our body, however, first and foremost it cleans waste material like potassium and calcium and roots it out from our body through urine. Many individuals suffer acute kidney disease earlier than other people. Hypertension and diabetic issues are the most known problems that trigger individuals to develop acute kidney disease. Sadly, lots of people who are suffering from acute kidney disease also suffer from arthritis or chronic pain.

Various drugs are separated out of the body system by the kidneys.  It indicates that once you develop acute kidney disease, few drugs are taken in a different way or perhaps disallowed completely. Drugs as essential as antibiotics could require kidney functionality adaptation, so it is extremely vital to consult with your doctor and understand your kidney functionality.

Acute kidney disease can furthermore lead to transitions in the human body, including anemia or bone disorder. The kidneys exude a hormone which induces bone marrow to generate blood cells. If the hormone is not exuded properly, anemia may possible to develop. The kidneys additionally support the human body utilize calcium and vitamin D effectively. in absence of the complete functionality of the kidneys, individuals can suffer from a bone disease, like osteoporosis.

Well, presented all of this facts, what a person can do to avoid acute kidney disease? By far and away the most crucial things a person can do is regulate blood sugar and pressure. Blood pressure should be checked often and diet should be built as recommended by a dietician.

The more salt, the steeper the blood pressure. High sugar also damages the kidney. If you are suffering from obesity, or have a family background of diabetes, it’s important to have blood sugar checked.

If acute kidney disease does not treat well it may lead to total failure of kidney and then a person needs to go for a kidney transplant. For kidney transplant in Delhi, many patients visit Dr. Vinant Bhargava and his expert surgeon team.

 

Dialysis: An Artificial Kidney

According to Dr. Vinant Bhargava, Nephrologist in Delhi, perfectly working kidneys minimize excess water, waste material, and different harmful particles from gathering in your body. Kidneys also support to regulate blood pressure level and also control the amounts of toxins in the blood, such as sodium, or salt, and potassium. Kidneys additionally trigger a type of vitamin D that boosts the ingestion of calcium.

Kidney Specialist in Delhi Dr. Vinant Bhargava further explains that whenever your kidneys are unable to execute these types of works as a result of disease or trauma, dialysis can help in maintaining the body run as normal as possible. In the absence of dialysis, toxins and other waste products will gather in the blood and infect the body. Still, dialysis is not a permanent treatment for kidney disease or some other issues impacting the kidneys. Various treatments may possibly be recommended to handle those problems.

In general terms, Dialysis is a replica of kidney function which cleans your blood artificially. Dialysis is categorized into two types:

Hemodialysis

Hemodialysis is the most used form of dialysis. It utilizes hemodialyzer, which is also called artificial kidney, to eliminate waste material and toxins from your blood. A doctor will create an access point into your blood vessels to get the blood flow to hemodialyzer. This access point enables a higher volume of blood to flow through your body during the course of hemodialysis treatment. This enables more blood to be filtered and refined.

 

 

 

 

 

 

 

 

 

 

 

 

Peritoneal Dialysis

Peritoneal dialysis consists of a surgical procedure to attach a catheter inside your stomach area. During the course of procedures, a specific liquid, referred to as dialysate, flows into your abdominal. As soon as the dialysate extracts waste product out of the blood, it is emptied from your stomach.