TY - JOUR
T1 - Reproductive Health in Chronic Kidney Disease
T2 - The Implications of Sex and Gender
AU - Dumanski, Sandra M.
AU - Eckersten, Dag
AU - Piccoli, Giorgina Barbara
PY - 2022
Y1 - 2022
N2 - Chronic kidney disease (CKD) is frequently accompanied by reproductive health challenges in females and males alike. Progression of CKD is associated with escalating impairment of the hypothalamic–pituitary–gonadal axis, which facilitates evolving ovarian, testicular, and sexual dysfunction. Common clinical reproductive health complications in CKD include abnormal menstruation, impaired sexual health, and reduced fertility. Though sex-specific factors, such as sex hormones and gonadal function, have a strong influence on reproductive health outcomes in CKD, a person's gender and gendered experience also have important implications. Institutionalized gender, gendered perceptions of health, and health care–seeking behaviors, as well as adherence to medical care, all have critical effects on reproductive health in CKD. This review endeavors to explore the implications of both sex and gender on overall reproductive health in individuals living with CKD.
AB - Chronic kidney disease (CKD) is frequently accompanied by reproductive health challenges in females and males alike. Progression of CKD is associated with escalating impairment of the hypothalamic–pituitary–gonadal axis, which facilitates evolving ovarian, testicular, and sexual dysfunction. Common clinical reproductive health complications in CKD include abnormal menstruation, impaired sexual health, and reduced fertility. Though sex-specific factors, such as sex hormones and gonadal function, have a strong influence on reproductive health outcomes in CKD, a person's gender and gendered experience also have important implications. Institutionalized gender, gendered perceptions of health, and health care–seeking behaviors, as well as adherence to medical care, all have critical effects on reproductive health in CKD. This review endeavors to explore the implications of both sex and gender on overall reproductive health in individuals living with CKD.
KW - fertility
KW - gender
KW - hormone
KW - Kidney
KW - reproductive
KW - sex
U2 - 10.1016/j.semnephrol.2022.04.005
DO - 10.1016/j.semnephrol.2022.04.005
M3 - Review article
C2 - 35718362
AN - SCOPUS:85129973647
VL - 42
SP - 142
EP - 152
JO - Seminars in Nephrology
JF - Seminars in Nephrology
SN - 0270-9295
IS - 2
ER -