Sexual dysfunction and fertility are major concerns for patients with kidney disease that are important for clinicians to discuss, according to Silvi Shah, MD, FASN, assistant professor of nephrology at the University of Cincinnati.
More than half of both male and female patients with kidney disease experience some form of sexual dysfunction, which can be linked to their disease or its treatment, noted Shah. Many also face concerns about fertility, and women may require counseling about pregnancy or contraception. Yet, many nephrologists feel ill-prepared to discuss women’s health and often neglect these conversations, according to the results of a survey presented recently by Monica Reynolds, MD, a clinical instructor in the division of nephrology at the University of North Carolina Chapel Hill. Kidney News interviewed both Shah and Reynolds, who also spoke at Kidney Week 2018.