SEXUALITY AND CHRONIC KIDNEY DISEASE

Kidney disease, like other chronic diseases, can cause physical changes that often imply an effort to adapt and accept it on the part of the patient. The psychological and emotional stability of the patient and the support of the partner/family is essential for this adaptation to occur harmoniously in all spheres of the sick person's life. Sexuality is a fundamental part of this balance. Feeling loved, cherished, desired and supported, brings a sense of “normality” to the patient, contributes to their well-being, and helps to overcome the adversities they face.

Kidney disease and sexuality

Kidney failure can cause physical and hormonal changes that affect a person's life in all its aspects. These alterations often have an impact on personal life, more specifically on sexuality (the way the patient sees his own body). Patients with chronic kidney disease tend to feel less sexually attractive, as their self-esteem is usually low and, in many cases, patients with kidney disease are depressed and have a distorted view of reality. With all these changes and adaptations to this new phase of life, having sex, or simply thinking about it, may be the last thing on the patient's mind.

If there was a good relationship and communication with the partner before the illness, it is possible to overcome and understand these changes more easily. If this is not the case, the support of nephrologist in Delhi is essential for the patient and his partner to discover a new way of relating while living with kidney disease.

Below are listed physical alterations that can alter the sexuality of patients with chronic kidney disease:

1. Body odor and bad breath – high levels of urea can cause a characteristic smell that varies from person to person;
2. Ecchymoses (purple or black spots, bruises) – some medications can alter blood clotting, making it easy for ecchymosis to appear that lasts for a long time;
3. Decreased energy levels (tiredness) – weight gain, lack of exercise and easy tiredness (resulting from anemia) can lower energy levels to carry out daily activities;
4.  Excess fluids – edema (swelling in the legs, face (face) and other parts of the body due to excess fluid intake between hemodialysis sessions and abdominal distension caused by fluid (in the case of patients on peritoneal dialysis);
5. Hair loss or the appearance of excess hair – resulting from treatment with steroid medications;
6. Decreased ability to reach orgasm – chemical changes affect the function of the nerves, decreasing their sensitivity;
7. Skin changes – you may experience itching (“itching”), dry skin and changes in skin color (pale, yellow skin).

 

Sex act

With the appearance of a chronic disease, many doubts and fears can arise, leading people to avoid sexual activity unnecessarily. It is important to ask your kidney specialist in Delhi when you can resume sexual activity.

Like any physical activity, it must be done with some care. With regard to renal failure on hemodialysis, you should consider a position where you don't exert too much pressure on the fistula. In patients undergoing peritoneal dialysis, consider a position that does not exert too much pressure on the abdomen. In the case of the transplanted patient, wait until the scar is completely healed.

If your kidney doctor in Delhi informs you that the sexual act is not possible or even if the couple feels that sex is no longer as important as it used to be, there are other ways to feel the affection and love desired by everyone, such as caresses, hugs, kisses.

It is important to remember the importance of protecting yourself, using condoms, against sexually transmitted diseases such as AIDS (AIDS), syphilis, gonorrhea, hepatitis B, genital herpes and candidiasis.

Impotence and Fertility

With the onset of symptoms inherent to kidney disease, it is possible for men to experience difficulties in obtaining and/or maintaining an erection. This occurs due to physical and emotional changes such as: changes in hormone levels; blood circulation problems; fatigue secondary to anemia; nerve damage; medication side effects; low self-esteem; changes in body image; depression; anxiety; stress, among others. With the transplant, these problems tend to attenuate.

The emergence of sildenafil opened new perspectives for the Erectile Dysfunction Treatment in Delhi in patients with CRI. It must be taken 1 hour before sexual activity and it needs sexual stimulation to obtain the effect, which can be felt for approximately 4 hours.

Impotence is not synonymous with infertility. A man on dialysis or transplanted can have a child. If the couple has not achieved a pregnancy after some time, they should seek the help of a sexologist in Delhi. The man should have a fertility test.

The Importance of Seeking Help

Asking the best sexologist in Delhi for help can help you understand whether sexual problems have a physical or psychological cause. This requires a medical, psychological and sexual history of the person. Medications should be reviewed for their potential effects on sexual function. Blood tests should include hormone studies. If there is no physical problem, the origin of the problem should be considered as emotional or psychological.

When the problem is physical

There are several options available for men who are unable to achieve an erection. There are inflatable or semi-rigid penile implants. In some cases, surgery can improve blood flow to the penis. If the man does not want any type of surgery, he can try hormone medication and improve his function.

Women generally have less vaginal lubrication, and may experience pain during intercourse. Using vaginal lubricants can reduce or eliminate pain. Women, on the other hand, may be unable or take longer to reach orgasm because of hormonal changes, changes in energy level or medication for stress. A change in your medication or supply of hormonal medications may be necessary.

Feeling anxious, upset and depressed is normal when faced with a chronic illness. These emotions lead to loss of energy and reduced interest in many activities, including sex. If a sexual problem occurs, embarrassment and feelings of guilt may ensue. The fear that the problem will happen again, leads the person to move away from situations that potentially involve sex. Relaxation exercises can help control these fears. Regular exercise and work can keep your mind busy and improve your physical condition and body image. If sexual problems continue despite all measures, the person may still benefit from sex therapy.

Sex Therapy

Sex therapy deals with the sexual problems of couples and individuals. The first step in sex therapy can be sex education for the person or couple. The sex specialist in Delhi can advise activities to be carried out at home. These include communication exercises, stress-reducing activities, practicing ways to improve the ability to give and receive caresses, among others. Sex therapy can help those with problems related to low sexual interest, difficulties reaching orgasm or reaching it early, pain during sexual activity and difficulties with erection. 

The patient

Patients with renal failure and their partners must play an active role in seeking to improve their quality of life. To do so, they must learn all they can about kidney disease and its treatment. It is essential to seek this knowledge from best nephrologist in Delhi, as they are better prepared to answer such questions. Having greater control over your situation and your treatment will help you feel better. Kidney failure is easier to accept with a positive attitude, which will make you more attractive to yourself and others.

Communication in the couple is important to maintain a healthy affective relationship. The appearance of a chronic disease within a family can generate fear about the future, anxiety about the present and burden on the caregiver, often leading to the couple's estrangement. The expression of these feelings, which are often hidden, can facilitate the process of getting closer to a couple.

Although this disease causes significant changes in the life of the person and his family, it does not mean, however, that one should give up the fight for happiness and abandon the will to feel loved and desired, as well as to desire the other and to give him/her love.

Having kidney failure does not mean being “insufficient” in everything, but only in kidney function. 

And in the list of symptoms associated with this disease nowhere in the world is it described: “chronic renal failure = unhappiness”. Your most intimate doubts can be clarified.

Look for your Nephrologist in Delhi. Don't be shy about asking and expressing what causes the most distress and upset in your relationship and your family. You don't have to be unhappy.

Impact of Impotence in a Relationship

The problem of erectile dysfunction interferes with the sex lives of millions of people and, although there are several treatments, it is still a case of health that greatly disturbs men. In reality, the man keeps the idea of ​​sexual potency intertwined with masculinity and, therefore, does not feel like a real man when he suffers such a situation in bed.

In this way, he is ashamed, thinking that he will no longer be able to adequately serve his partner or partner and is still afraid that the relationship will end because his partner prefers a powerful man in bed. Even worse is the feeling that others might have knowledge about this problem, says sexologist in Delhi.         

See in this article the major problems that impotence causes in a relationship.

Why do problems arise in partnership?

The main psychological problem caused by impotence is the self-confidence that results in anxiety, which negatively affects the man with this dysfunction. Many men suffer from impotence and avoid talking to their partners, feeling that they are solely responsible for the situation and looking for ways to solve the problem without help.

In this way, partnership problems are directly affected, especially when it is known that at least 20% of men with impotence do not seek help from medical experts like sexologist doctor in Delhi.

Why are there problems in a relationship?

The relationship between people where the man has erectile dysfunction (impotence) can present problems when the subject is not faced as it should, with assumptions about what is happening, causing the man to torture himself with questions, looking for the causes in themselves same.

The man may wonder, for example, if he will no longer be able to maintain an erection, being affected by the fear of ending the relationship, while the woman begins to think that she is no longer attractive to her partner or even that he is looking for another woman. .

The problem of sexual dysfunction not faced head on can generate even more conflicts when its solution is quite simple. It is important that there are no secrets in the partnership, talking openly about the needs to find an effective solution, rather than keeping silent.

Impotence can generate conflicts that affect the emotional security of other family members as well, especially among children, and the great irony is that the biggest barrier is precisely the man's resistance to accepting his condition and seeking adequate erectile dysfunction treatment in Delhi.

 

Delay in seeking treatment

There are men who even accept the presence of cancer with more serenity than sexual impotence. The fear of seeking help can lead to accommodation with the situation, making possible treatment increasingly difficult, says the best sexologist in Delhi.

The average time it takes men with impotence to seek medical help is around four years. This is the common period in patient reports, after looking from popular aphrodisiacs to medicinal herbs and plants, until they reach the famous Chinese ointments or testosterone-based drugs, without finding the definitive solution.

When they don't find a viable solution, they finally seek medical help from sex specialist in Delhi, without thinking that this should be the first thing to do: face the problem head on and investigate its causes.

The most common reaction in men with impotence is to avoid situations that could lead to sexual intercourse, leaving the partner suspecting that something is wrong, including the idea that an extramarital affair is taking place.

During this average waiting time, it is quite common for women to also lose sexual desire, both due to lack of stimulation and lack of interest in their partner. Thus, there is a loss of self-esteem, emotional frustration and embarrassment between the partners, leading to quite unpredictable situations, such as alcoholism and suicidal tendencies, warns the best sex doctor in Delhi.

Looking for other women to prove impotence

A very common situation is for a man to look for other partners to check if the problem is with him or with his partner. And this leads to an even greater picture of disappointment, with increased insecurity and greater conflicts in the relationship.

Sexual function and the condition of desire among people should be seen as physiological needs, ensuring a better quality of life, regardless of age.

Harmony and the marital relationship play a role as important as sexual health, ensuring the success of a lasting and healthy sexual relationship.

Statistics of Couples Facing Impotence

Sexual impotence is a taboo subject even in our time, although it affects, to some degree, at least 25% of men over 18 years of age. In the range of 40 years, the problem can reach 30% of men who cannot maintain a satisfactory erection.

The percentage increases in men over 60 years old, reaching 71% of them admitting to having gone through episodes of impotence.

How should partners start a conversation?

An important factor in solving the problem of impotence is to have a frank conversation between the partners, firmly believing that they can find a solution. Between both, there must be openness to talk about causes and treatments and show seriousness in the search for a solution.

Many men end up losing their sexual desire with age and, however, it is necessary to understand that sexual activity is the best way to offer and receive warmth and security, especially in old age, understanding that sexual life does not end with the arrival of age. .

The conversation between the couple should take place at times when they can be free from any commitment, within a very relaxed atmosphere. Even the search for a neutral place can be favorable, on a walk or in a quiet place, where they can talk without any interruption.

It is necessary to avoid misunderstandings and create openness, without forcing any response, showing the partner how she, as a woman, feels, avoiding generalizing. The man should not try to minimize the issue, offering to participate in treatments and seeking to face the situation with seriousness and commitment.

When men suffer recurrently from impotence, the situation can often be a sign of a more serious problem, which should be investigated by a sexologist in Delhi. This situation must be seen as a joint problem, which must be solved in partnership, in the same way as everything before was solved between them.

Consequences that can bring to the relationship by not dealing with the situation

One of the most serious consequences that can lead to a relationship when not working properly with erectile dysfunction problems is the loss of trust between partners, which can even lead to separation.

The best way to deal with the problem is to face it head on, talking about it, exposing the problems, both the man to the woman and the opposite, making it clear that both remain together and that the problem of erectile dysfunction, like so many others that arose during your life together, must also be resolved in partnership, says sexologist in Noida.

Erectile Dysfunction: 7 things you need to know

Although it is a sensitive subject for the vast majority of men, erectile dysfunction (ED) is a common problem that can be successfully treated or controlled. To give you an idea, the best sexologist in Delhi reveals that about 50% of Indian men over 40 years old complain about their erections.

Next, check out 7 important things you need to know about the topic and clarify your doubts!

1. What is erectile dysfunction?

Erectile dysfunction (or “sexual impotence”) is the inability to initiate or maintain an erection sufficient for sexual intercourse. To characterize the picture, however, the problem must be permanent and occur in most sexual attempts. It is not, therefore, an “occasional failure”.

2. What are the risk factors?

Certain genetic or lifestyle issues can influence the development of erectile dysfunction. Are they:

• Psychological disorders;
• Hormonal disorders, including the effects of diabetes and a drop in testosterone;
• smoking;
• Alcohol consumption;
• Vascular diseases and their risk factors (such as obesity, physical inactivity and high blood pressure);
• Neurological diseases;
• Medication intake;
• Use of anabolic steroids.

3. What are the causes of erectile dysfunction?

After all, what causes erectile dysfunction and all the feelings of frustration and anguish that it can cause? In general, the causes of the problem are classified by sexologist in Delhi into three groups, which are also types of ED: organic, psychogenic and mixed.

Organic

Here, the causes of ED are physical (and so this type is more common after age 40). Metabolism dysfunctions, cardiovascular problems, hormonal issues or the use of certain drugs/substances are among the most frequent motivators. Worth investigating!

Psychogenic

In this case, the roots of erection problems are psychological. When there is no apparent reason for the problem (especially when it comes to young, healthy men), the most common cause tends to be the fear of “failing in bed”, the fear of frustrating the partner and the anxiety.

Mixed

The causes are a mixture of physical and psychological factors.

4. How does the erection mechanism work?

After erotic and sexual stimuli, the brain sends signals to the penile region, generating a large flow of blood there. As the cavernous bodies of the organ fill, the penis expands and elongates.

With a system similar to a valve, the blood remains "trapped" in the region, which maintains the erection until ejaculation.

5. Why is the psychological factor so decisive in erectile dysfunction?

As we have seen, the mechanism of erection starts in the brain. It is not by chance that the psychological plays a definitive influence on the issue of dysfunction and specific failures.

According to sexologist in Delhi, a bad day, financial complications, fears, trauma: all of these can trigger and feed the problem. Often, there is the “snowball” effect: by not being able to continue with sex once, the man continually replicates the situation due to anxiety.

It is worth remembering: in these situations, adrenaline spikes contract penile regions that should be relaxed for erection, causing the problem.

6. What are the symptoms?

In addition to the inability to obtain and maintain an erection itself, other symptoms of ED include reduced penis size and rigidity, loss of body hair, atrophy of the testes, and neuropathies.

7. How to treat erectile dysfunction?

The first step is to look for the sexologist in Delhi, who will investigate the cause of the ED (discarding or not organic problems). From the diagnosis, the best erectile dysfunction treatment in Delhi is recommended for each patient, such as:

• Psychotherapy, to work on psychological blocks;
• Intracavernous injections;
• Penile prosthesis;
• Oral medications.

Finally, it is worth noting that a healthy lifestyle, with regular exercise, good nutrition and control of risk factors makes all the difference to maintain a full sex life at all ages.