Chronic kidney disease (CKD) is associated with multiple complications, including alterations in the hypothalamicpituitary-gonadal axis. There is a degree of hypogonadism and androgen deficiency in patients on dialysis that is unknown if it is due to the dialysis technique per se or if it is part of a natural decrease of the disease itself. As CKD progresses, symptoms such as erectile sexual dysfunction (ESD) manifest, which is defined as the inability to achieve or maintain an erection to perform sexual activity satisfactorily, decreased libido, cognitive alterations, among other complications.
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Bombicino et al. (2024) studied this question.
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