Sexual dysfunction in hemodialysis patients: Prevalence and risk factors in Morocco

Abstract

This research was designed to investigate the prevalence and risk factors associated with sexual dysfunction in women with chronic
renal failure on hemodialysis in the Marrakech-Safi region of Morocco. A questionnaire was distributed to 225 sexually active married CKD patients undergoing hemodialysis. Their results were compared with those of 120 healthy, sexually active married women matched for age and socioeconomic class. The present study showed that 76.4% of the women had sexual dysfunction. The total sexual function scores of hemodialysis patients (19.44 ± 6.3) were significantly lower than those of the control group (27.42 ± 4.8; p < 0.001). Sexual dysfunction was influenced by age (OR = 2.721; CI 2.168–3.745; p<0.001), etiology of chronic renal failure  (OR = 4.645; CI 2.783–7.286; p 0.001), biological data (OR = 5,837; CI 5,112–9,371; p<0.001), associated co-morbidity (OR = 2,193; CI 1,424–3,412; p 0.01), and months of dialysis duration (OR = 3,345; CI 1,215–10,573; p<0.05). This study revealed a significant prevalence of sexual dysfunction, and more effort in diagnosis and management should be made.