Can men with uremia have sexual intercourse? I believe this question is quite doubtful for patients. We know that uremia is a serious chronic disease that has a significant impact on the physical and mental health of patients. This disease requires careful care and standardized treatment in order to further control its progression. Let's take a look together below.
Can men with uremia have sexual intercourse?
Uremic patients, whether in the stage of renal insufficiency, dialysis, or after kidney transplantation, have unsatisfactory sexual quality of life. Compared to before the illness, 90% of male patients and 80% of female patients experienced decreased libido. 80% of male patients have erectile dysfunction or are unable to maintain an erection after erection.
Male patients have significantly decreased control over ejaculation, premature ejaculation time, and poor self perception of orgasm. About three-quarters of female patients have difficulty arousing sexual excitement, and the vast majority of female patients have secondary orgasmic disorders, manifested as a significant decrease in the frequency or intensity of orgasms, or even complete disappearance.
Causes of male uremic sexual dysfunction
1. Physiological dysfunction: Patients with chronic renal insufficiency often experience anemia, hypertension, nausea and vomiting caused by elevated creatinine and urea levels, as well as poor myocardial function, all of which can lead to sexual dysfunction.
2. Hormonal metabolic disorders: Women with severe renal insufficiency often exhibit symptoms of estrogen deficiency, such as amenorrhea, oligomenorrhea, infertility, breast atrophy, atrophic vaginitis, decreased vaginal lubrication, etc; The serum androgen level of male patients significantly decreased, only equivalent to half of that of normal individuals. Some patients experience hypothyroidism, displaying low libido and erectile dysfunction.
3. Neurological factors: Due to the influence of toxic substances in uremia, the nervous system undergoes degenerative changes and functional disorders, slowing down nerve conduction velocity and reducing neural regulatory function. The changes in the nervous system affect the pelvic autonomic nervous system, resulting in sexual dysfunction.
4. Accompanying diseases and drug factors: some diseases that lead to chronic renal failure have no effect on sexual function with the degree of damage to the kidney itself, such as diabetes, hypertension, etc. However, the treatment of comorbidities may affect sexual function, and sometimes 3-4 antihypertensive drugs are used in combination, often inhibiting sexual desire and leading to erectile dysfunction.
5. Psychological factors: Uremia is a serious life-threatening disease, where patients experience decreased libido and sexual dysfunction due to low mood, depression, anxiety, fear, and heavy economic burden;
6. The influence of traditional concepts such as "kidney dominance" and "sexual activity can affect the kidneys" has formed a concept in people's lives, so some patients self abstain from sexual activity.
The above is the content related to whether male uremia can have sexual intercourse. In summary, in general, patients with uremia should avoid sexual intercourse. Especially for patients with severe uremia, having sexual intercourse can cause significant physical exertion and be detrimental to the recovery of the condition. This not only requires the understanding and support of the other half as much as possible, but also for patients with uremia, mental health can establish the belief of overcoming the disease. It is very beneficial for the prognosis of patients.
