Home | Wikikidney | Dialysis Units | Physicians | RNS & Administrators | Nutrition | KidneyDisasters | Patient Education | MDRD GFR | AAKP | K DOQI | Epocrates | UpToDate | HDCN | Bills | Translate
 
TEXT SEARCH STRUCTURED SEARCHES
for:

PICO | Hubmed - RIS |Citematch Search by Citation |
Cochrane
CR
IDMS
mg/dL
μmol/L
AGE yrs W
B
F
M
MDRD
GFR:
??? mL/min/1.73 m2
 
web site
Epocrates | TouchCalc
Clin Queries | AdvScholar | Scholar |
 

6 eGFR Equations (beta)

PEDIATRIC GFR
CKD-EPI.COM

Sexual Potency

 

1997 Andrew Lundin, M.D. All rights reserved. Reproduced with permission.

Testosterone levels can be low in ESRD patients and are usually associated with high levels of prolactin. Besides causing impotence, lack of testosterone can also contribute to bone disease. Both are multicausal problems which need to be sorted out and treated specifically. Instead of the shots, testosterone is now availabe as skinpatches that are applied daily. One has to be cautious with oral testosterone which can lead to liver problems over the long haul. If one is impotent, just taking testosterone may not solve the problem and other causes need to be looked for, such as:
  • Depression
  • BP medications
  • Poor circulation or nerve damage
  • Inadequate dialysis causing one "not to feel well"
  • Change in relationship between spouses due to ESRD
There are treatments available for almost all causes of impotence. It should also be noted that women with ESRD may have low estrogen levels as well, certainly after menopause. Consideration should be given for replacement for all the reasons estrogen is replaced in non-ESRD women. Testosterone and estrogen as estradiol can easily be measured in the blood.

Impotence Evaluation

Is a Urologist better than an Endocrinologist for impotence?

The urologist may have more interest and skills in the "plumbing" aspects of impotence, those that particularly effect patients with diabetes or athersclerosis. This is not to say that they cannot also have skills with hormonal manipulation.
On the other hand the endocrinologist, particularly one who specializes in this area (ask when making appointment) should be quite skilled in hormone manipulation, replacement and medications.

Peter Lundin, M.D.

Edited by Stephen Z. Fadem, M.D.


Remember, this information is for education purposes only. Please consult your own physician for specific treatment recommendations. All medical and therapeutic decisions must come from your health care provider.The information obtained through this service, and the information which you receive through the Internet is only for general guideline purposes, and is not an ultimate source of information, nor something which you should rely on as a sole source for your medical care. The authors, editors, producers, sponsors, and contributors shall have no liability, obligation or responsibility to any person or entity for any loss, damage, adverse consequence alleged to have happened directly or indirectly as a consequence of this material.



This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.



Search only trustworthy HONcode health websites:

About The Nephron Information Center | Contact the webmaster: fadem@nephron.com
© 2004-13 Nephron Information Center. All Rights Reserved. No part of this page can be reproduced without permission of the author. | Page coding updated October 20 2012. Content last updated dynamically at Last updated Mon, 26 Dec 2016 23:20:50 -0800. .