Holley JL, Schmidt RJ, Bender FH, Dumler F, Schiff M
Menstruation, sexual activity, and contraception in women on
dialysis
Am Soc Nephrol
J Am Soc Nephrol (abstract)
(Sep) 7:1449 1996
Holley et al administered a questionnaire regarding menstruation, sexual
activity and contraception to 185 HD or PD women. The results obtained in
70 women aged < 55 y at the start of dialysis were analyzed. Mean age
was 41 +/- 11 y, mean time on dialysis was 4.7 y. 70% have been pregnant
but only 2% of pregnancies occurred while on dialysis. Menstruation was
present in 64% and did not decrease after 4.7 y of dialysis, as it was for
menstruation regularity. 19% had a hysterectomy and only 38% of those had a
estrogen replacement therapy. 51% were sexually active (60% nonmenopausal,
20% postmenopausal, p=0.02). 38% of sexually active women used
contraception. Only 14% of women reported to have discussed contraception
with their nephrologist.
Comment: It is concluded that nephrologists should discuss
menstruation
and
contraception with their patients. Post menopausal hormone replacement
should also be addressed in these patients .
(Denis Fouque, M.D., University of Lyons, France)
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Am Soc Nephrol
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CRF in Women