Sexual Activity, Function, and Satisfaction in Reproductive-Aged Females Living with Chronic Kidney Disease
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Population
2.2. Data Collection
2.3. Assessment of Sexual Activity, Function, and Satisfaction
2.4. Statistical Analysis
2.5. Reporting of Sex and Gender
3. Results
3.1. Participant Characteristics
3.2. Sexual Activity
3.3. Sexual Function
3.4. Self-Identified Sexual Difficulty
3.5. Sexual Satisfaction
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Pooled (n = 57) | CKD without KRT (n = 20) | CKD Treated with HD (n = 25) | CKD Treated with PD (n = 5) | CKD Treated with Kidney Transplant (n = 7) | p-Value | |
---|---|---|---|---|---|---|
Age (years) | 38 (32, 47) a | 40 (32, 47) | 37 (32, 47) b | 35 (25, 40) | 37 (36, 41) | 0.81 |
Self-identified Ethnicity n (%) c | 0.67 | |||||
Black | 3 (6) | 1 (6) | 1 (4) | 1 (20) | 0 (0) | |
Caribbean | 1 (2) | 0 (0) | 1 (4) | 0 (0) | 0 (0) | |
East Asian | 2 (4) | 2 (11) | 0 (0) | 0 (0) | 0 (0) | |
Filipinx | 1 (2) | 1 (6) | 0 (0) | 0 (0) | 0 (0) | |
Indigenous or Metis | 5 (9) | 1 (6) | 3 (13) | 1 (20) | 0 (0) | |
Latinx | 1 (2) | 0 (0) | 1 (4) | 0 (0) | 0 (0) | |
South Asian | 4 (6) | 3 (17) | 0 (0) | 0 (0) | 1 (14) | |
Southeast Asian | 5 (9) | 2 (11) | 2 (9) | 0 (0) | 1 (14) | |
White | 32 (60) | 8 (44) | 16 (70) | 3 (60) | 5 (71) | |
Gender Identity n (%) d | 0.49 | |||||
Cisgender woman | 52 (96) | 19 (95) | 22 (100) | 5 (100) | 6 (86) | |
Prefer not to say | 2 (4) | 1 (5) | 0 (0) | 0 (0) | 1 (14) | |
Cause of CKD n (%) e | 0.87 | |||||
Acute kidney injury | 2 (4) | 0 (0) | 2 (9) | 0 (0) | 0 (0) | |
Congenital/hereditary | 6 (11) | 3 (16) | 2 (9) | 0 (0) | 1 (14) | |
Diabetes | 11 (21) | 3 (16) | 6 (26) | 2 (50) | 0 (0) | |
Glomerulonephritis | 9 (17) | 3 (16) | 4 (17) | 1 (25) | 1 (14) | |
Hypertension | 4 (8) | 1 (5) | 1 (4) | 0 (0) | 2 (29) | |
Polycystic kidney disease | 3 (6) | 1 (5) | 2 (9) | 0 (0) | 0 (0) | |
Reflux nephropathy | 2 (4) | 0 (0) | 1 (4) | 0 (0) | 1 (14) | |
Unknown/other | 16 (30) | 8 (42) | 5 (22) | 1 (25) | 2 (29) | |
Stage of CKD (among “CKD without KRT” participants only) n (%) f | N/A | |||||
Stage 3a | 5 (28) | 5 (28) | - | - | - | |
Stage 3b | 6 (33) | 6 (33) | - | - | - | |
Stage 4 | 2 (11) | 2 (11) | - | - | - | |
Stage 5 | 4 (22) | 4 (22) | - | - | - | |
Unsure | 1 (6) | 1 (6) | - | - | - | |
Menstruation n (%) a | <0.01 | |||||
Current menstrual cycles | 36 (64) | 18 (90) | 10 (40) | 2 (50) | 6 (86) | |
Secondary amenorrhea | 5 (9) | 0 (0) | 3 (12) | 2 (50) | 0 (0) | |
Post-menopausal | 14 (25) | 2 (10) | 11 (44) | 0 (0) | 1 (14) | |
Unsure | 1 (2) | 0 (0) | 1 (4) | 0 (0) | 0 (0) | |
Menopausal Symptoms (among “post-menopausal” participants only) n (%) g | 0.04 | |||||
Genitourinary | 6 (43) | 0 (0) | 6 (55) | 0 (0) | 0 (0) | |
Vasomotor | 7 (50) | 0 (0) | 7 (64) | 0 (0) | 0 (0) | |
None | 6 (43) | 2 (100) | 3 (27) | 0 (0) | 1 (100) | |
Use of HRT (among “post-menopausal” participants only) n (%) h | N/A i | |||||
Yes | 1 (8) | 0 (0) | 1 (10) | 0 (0) | 0 (0) | |
No | 12 (92) | 2 (100) | 9 (90) | 0 (0) | 1 (100) | |
Other Gynecologic Diagnosis n (%) e | 0.50 | |||||
Endometriosis | 1 (2) | 0 (0) | 1 (5) | 0 (0) | 0 (0) | |
Gynecologic malignancy | 3 (6) | 0 (0) | 2 (9) | 0 (0) | 1 (14) | |
Uterine fibroids | 2 (4) | 2 (10) | 0 (0) | 0 (0) | 0 (0) | |
None | 47 (89) | 18 (90) | 19 (86) | 4 (100) | 6 (86) |
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Corbett, K.S.; Chang, D.H.; Riehl-Tonn, V.J.; Ahmed, S.B.; Rao, N.; Kamar, F.; Dumanski, S.M. Sexual Activity, Function, and Satisfaction in Reproductive-Aged Females Living with Chronic Kidney Disease. Healthcare 2024, 12, 1728. https://doi.org/10.3390/healthcare12171728
Corbett KS, Chang DH, Riehl-Tonn VJ, Ahmed SB, Rao N, Kamar F, Dumanski SM. Sexual Activity, Function, and Satisfaction in Reproductive-Aged Females Living with Chronic Kidney Disease. Healthcare. 2024; 12(17):1728. https://doi.org/10.3390/healthcare12171728
Chicago/Turabian StyleCorbett, Kathryn S., Danica H. Chang, Victoria J. Riehl-Tonn, Sofia B. Ahmed, Neha Rao, Fareed Kamar, and Sandra M. Dumanski. 2024. "Sexual Activity, Function, and Satisfaction in Reproductive-Aged Females Living with Chronic Kidney Disease" Healthcare 12, no. 17: 1728. https://doi.org/10.3390/healthcare12171728