alexa Sexual Function In Women Undergoing Maintenance Hemodialysis In Cameroon And Its Related Factors: A Multi-centric Study | 67388
ISSN: 2161-0959

Journal of Nephrology & Therapeutics
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12th Global Nephrologists Annual Meeting

Teuwafeu Denis Georges
University of Buea, Cameroon
Posters & Accepted Abstracts: J Nephrol Ther
DOI: 10.4172/2161-0959-C1-040
Abstract
Purpose of the Study: The aim of this study was to describe disorders of sexual function and determine its associated factors in women on maintenance hemodialysis in a resource-limited country. Methods: This was a multi-centric cross-sectional study including consenting women aged ≥18 years old who were undergoing maintenance hemodialysis for ESRD at three HD facilities in Cameroon in November 2014. Sampling was consecutive. The evaluation instruments used included: a preconceived form for demographic and clinical data, the Rosen questionnaire for evaluation of female sexual function (FSFI), the Beck depression Inventory (BDI), the short form (SF-36) of WHO quality of live (WHOQOL- BREF) questionnaire. Data was analyzed by EPI INFO 7. A value of p<0.05 was considered significant. The study was authorized by the ethics boards of the different hospitals. Results: A total of 52 out of 83 eligible adult women were included. The mean age was 38±13 years with range of 18-69. There were 31(62%) women of child-bearing age (18-44 years). Disorders of sexual function were present in all women (100%). These disorders were sexual dysfunction (75%, n=39), abnormalities of the menstrual cycle (49% n=26), lack of sexual activity (30%, n= 15). Menstrual disorders in the women of child-bearing age were: Irregular menses (45% n= 14), non-gravid amenorrhea (40%, n=12), oligo-menorrhea (25%, n=8), poly-menorrhea (25%, n=8), metrorrhagia (6,4%, n=2), and menorrhagia (3,2%, n=1). Ten women had more than one menstrual disorder. Disorders of sexual dysfunction included: decrease in sexual desire (56%, n=28), decrease in sexual arousal (39%, n=15), decrease in vaginal lubrication (49%, n=19), failure to achieve orgasm (46%, n=18), sexual dissatisfaction (51%, n=25), and dyspareunia (36%, n=14). There was a significant inverse association between sexual dysfunction and older age (p=0, 0046), depression (p=0, 0000), and anemia (p=0, 0005). Sexual inactivity (p=0.0350) and sexual dysfunction (p=0.02875) were associated with poor quality of life. Child desire was present in 14 women (45%) in child bearing age. Of the 37 sexually active women, 34 (93%) were not using any contraceptive method and 25 (67%) no measure of prevention against sexual transmissible infections. Conclusion: Our results suggest that disorders of sexual function are frequent in women on long-term hemodialysis, and are associated with depression, a poor quality of life, older age and diabetes. Correction of anemia may improve these disorders.
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