2017年1月5日星期四
Nephrotic Syndrome and Sexual Dysfunction
Recently, a friend in the hospital for the diagnosis of nephrotic syndrome. During the illness and treatment, he found his sexual function has also been a problem, penile erection often difficult. This is why? Let us first to learn about the concept of nephrotic syndrome and sexual function.
Nephrotic syndrome is mainly manifested as a group of clinical symptoms: proteinuria, hypoproteinemia, edema, hyperlipidemia. While renal function is also subject to a certain degree of damage.
Normal male sexual function, including sexual desire, erection, orgasm, ejaculation and other links, any link problems affecting sexual improvement is called sexual dysfunction. The main manifestations of impotence and premature ejaculation. So the relationship between sexual function and nephrotic syndrome in the end it?
Studies have shown that mental and psychological factors in sexual function has a great impact. The ancients cloud "Housing labor consumption fine kidney injury", patients suffering from kidney disease and fear of sexual life, fear of sex worse, resulting in loss of libido, impotence and premature ejaculation. But we can not completely exclude organic factors lead to sexual dysfunction.
At present, simple and effective screening method is "stamp test". That is, with the four-hole stamp, before going to sleep around the penis into a ring. If you wake up in the morning if the joint tear at night, said there have been erectile. This suggests that erectile dysfunction is a psychological cause rather than an organic cause. But this is only a rough estimate, a more accurate test should go to the hospital using the night erectile detector, and psychological test table to be distinguished.
Identified as organic causes, the sexual dysfunction and kidney disease itself and the main side effects of drug treatment. Nephrotic syndrome in patients with a large number of long-term proteinuria, leading to zinc deficiency; endocrine dysfunction, resulting in decreased androgen secretion, which are the root causes of impotence. The treatment of nephrotic syndrome, the main drugs: hormones, antihypertensive drugs, diuretics, hypolipidemic drugs and cytotoxic drugs will directly or indirectly lead to androgen metabolism impotence. In particular, lipid-lowering drugs, almost all species can cause sexual dysfunction.
Therefore, the clinical medication should weigh the pros and cons, grasp the time and dose of medication, as far as possible to avoid the impact of drugs on sexual function, if necessary, consider the replacement of varieties. With the recovery of nephrotic syndrome and the gradual reduction of drugs, sexual function will be restored. The psychological impotence in patients with the key is to lift the ideological burden, a sexual intercourse is only equivalent to the energy of the second floor of the board, the appropriate sex life will not have an impact on the kidneys. In addition, the patient should pay attention to sexual health, low salt less spicy diet.
Nephrotic syndrome, although it will lead to sexual dysfunction, but not a permanent injury, patients with friends as long as the symptomatic treatment will be able to restore your past style.
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