Sexual problems are common for men and women who have kidney disease. Not only are emotional problems likely to occur because of the stress of kidney disease, but also there are a number of medical conditions that can affect sexual function and ability to have children, in both men and women. Contraception is important for people with kidney disease, just as it is for everyone else. The coil contraceptive and condoms are safe for people with kidney disease to use.
The oral contraceptive pill can cause some complications more frequently in women with kidney disease than in the general population, so needs to be prescribed with care. Irregular periods can occur in women with kidney failure and after transplantation. It is common for women with advanced kidney failure either to stop having periods, or to have irregular periods. However that does not mean these women are completely infertile unable to have a baby , so contraception should still be used.
After a successful kidney transplant, periods usually return to a more normal pattern. Young women on dialysis who have no periods, and all women with kidney disease after the menopause, should consider hormone replacement treatment. Sex is possible for women with kidney failure.
Some people worry that the catheter tube for peritoneal dialysis, which hangs from the tummy just below the belly button, will stop them having sex. Others worry that a kidney transplant, which is placed low down in the tummy, might also be a problem. Neither of these should prevent anyone on peritoneal dialysis having sex. Although loss of sex drive can be an emotional problem, women should not think that this is always the case. Problems such as anaemia and hormone deficiency can cause loss of sex drive in women, and these are treatable.
Although male fertility may remain normal with kidney disease, loss of sex drive and impotence not being able to raise an erection are very common. There are a number of causes for this, including anaemia and testosterone deficiency. These can be tested for, and in many cases treated. For instance, people who are in the early stages of chronic kidney disease will have different dietary restrictions than those with end-stage renal disease, or kidney failure.
Those with end-stage renal disease who require dialysis will also have varying dietary restrictions. Dialysis is a type of treatment that removes extra water and filters waste. The majority of those in the late stages or with end-stage kidney disease will need to follow a kidney-friendly diet to avoid build-up of certain chemicals or nutrients in the blood.
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In those with chronic kidney disease, the kidneys cannot adequately remove excess sodium, potassium and phosphorus. As a result, they are at higher risk of elevated blood levels of these minerals. Damaged kidneys may also have trouble filtering the waste products of protein metabolism.
Therefore, individuals with chronic kidney disease in stages 1—4 may need to limit the amount of protein in their diets 3. However, those with end-stage renal disease undergoing dialysis have an increased protein requirement 4. In addition to the calories and sugar that colas provide, they also contain additives that contain phosphorus, especially dark-colored colas.
17 Foods to Avoid If You Have Kidney Disease
Many food manufacturers add phosphorus during the processing of food and beverages to enhance flavor, prolong shelf life and prevent discoloration. This added phosphorus is much more absorbable by the human body than natural, animal- or plant-based phosphorus 5. Unlike natural phosphorus, phosphorus in the form of additives is not bound to protein. However, food manufacturers are not required to list the exact amount of additive phosphorus on the food label. While additive phosphorus content varies depending on the type of cola, most dark-colored colas are believed to contain 50— mg in a ml serving 7.
Avocados are often touted for their many nutritious qualities, including their heart-healthy fats, fiber and antioxidants. While avocados are usually a healthy addition to the diet, individuals with kidney disease may need to avoid them. This is because avocados are a very rich source of potassium.
One cup grams of avocado provides a whopping mg of potassium 8. Therefore, avocados, including guacamole, should be avoided on a renal diet, especially if you have been told to watch your potassium intake. Canned foods , such as soups, vegetables and beans, are often purchased because of their low cost and convenience. However, most canned foods contain high amounts of sodium, as salt is added as a preservative to increase its shelf life 9.
Often for healthy individuals, whole-wheat bread is usually recommended over refined, white flour bread. Whole-wheat bread may be a more nutritious choice, mostly due to its higher fiber content. However, white bread is usually recommended over whole-wheat varieties for individuals with kidney disease.
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This is because of its phosphorus and potassium content. The more bran and whole grains in the bread, the higher the phosphorus and potassium contents. For example, a 1-ounce gram serving of whole-wheat bread contains about 57 mg of phosphorus and 69 mg of potassium. In comparison, white bread contains only 28 mg of both phosphorus and potassium 11 , Note that most bread and bread products, regardless of being white or whole wheat, also contain relatively high amounts of sodium Like whole-wheat bread, brown rice is a whole grain that has a higher potassium and phosphorus content than its white rice counterpart.
One cup of cooked brown rice contains mg of phosphorus and mg of potassium, while one cup of cooked white rice contains only 69 mg of phosphorus and 54 mg of potassium 14 , You may be able to fit brown rice into a renal diet, but only if the portion is controlled and balanced with other foods to avoid excessive daily intake of potassium and phosphorus.
Bulgur, buckwheat, pearled barley and couscous are nutritious, lower-phosphorus grains that can make a good substitute for brown rice. Bananas are known for their high potassium content. It may be difficult to keep your daily potassium intake to 2, mg if a banana is a daily staple. However, pineapples contain substantially less potassium than other tropical fruits and can be a more suitable, yet tasty, alternative Dairy products are rich in various vitamins and nutrients.
Sex problems with renal failure
For example, 1 cup 8 fluid ounces of whole milk provides mg of phosphorus and mg of potassium Yet, consuming too much dairy, in conjunction with other phosphorus-rich foods, can be detrimental to bone health in those with kidney disease. This may sound surprising, as milk and dairy are often recommended for strong bones and muscle health.
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However, when the kidneys are damaged, too much phosphorus consumption can cause a buildup of phosphorus in the blood. This can make your bones thin and weak over time and increase the risk of bone breakage or fracture Dairy products are also high in protein.
One cup 8 fluid ounces of whole milk provides about 8 grams of protein While oranges and orange juice are arguably most well known for their vitamin C contents, they are also rich sources of potassium. One large orange grams provides mg of potassium. Moreover, there are mg of potassium in one cup 8 fluid ounces of orange juice 20 , Given their potassium content, oranges and orange juice likely need to be avoided or limited on a renal diet. Grapes, apples and cranberries, as well as their respective juices, are all good substitutes for oranges and orange juice, as they have lower potassium contents.
Processed meats have long been associated with chronic diseases and are generally considered unhealthy due to their content of preservatives 22 , 23 , 24 , Processed meats typically contain large amounts of salt, mostly to improve taste and preserve flavor. Therefore, it may be difficult to keep your daily sodium intake to less than 2, mg if processed meats are abundant in your diet.
For example, one pickle spear can contain more than mg of sodium. Likewise, there are mg of sodium in 2 tablespoons of sweet pickle relish 26 , Processed olives also tend to be salty because they are cured and fermented to taste less bitter. Five green pickled olives provide about mg of sodium, which is a significant portion of the daily amount in only a small serving Many grocery stores stock reduced-sodium varieties of pickles, olives and relish, which contain less sodium than the traditional varieties.
However, even reduced-sodium options can still be high in sodium, so you will still want to watch your portions. Apricots are rich in vitamin C, vitamin A and fiber. They are also high in potassium. One cup of fresh apricots provides mg of potassium One cup of dried apricots provides over 1, mg of potassium