Halima Resic, Society of Nephrology, Dialysis and Transplantation of Bosnia and Herzegovina
Trg Fra Grge Martića 2, Sarajevo 71000, Bosnia and Herzegovina - Sunday 18th of March 2018 at 12:00 PM
Theme of this year’s WKD is kidneys and women’s health. CKD represents risk factor for women of all ages, especially women who have 50+ years. Type 2 diabetes and obesity have also been one of the main factors contributing rise in CKD, not only in women population, but also in males. This trend is also true in today’s Bosnia and Herzegovina, with higher prevalence of CKD in last 5 years.
Women who have CKD, also have some special issues. These issues are periods, which tend to be irregular or even stop altogether when women starts dialysis. As body retains waste products between dialysis sessions, egg production and menstruations are affected. Decreased libido is also one of the main factors contributing to emotional and psychological stress. Vaginal dryness or painful intercourse can be attributed to lower hormone levels. Erythropoietin treatments can increase a woman’s fertility, so birth control should be used if a woman is sexually active and does not want to become pregnant. CKD and dialysis, together with catheters in abdomen in CAPD or AV fistula or hemodialysis catheter, change woman’s physique even furthermore, also, with changes in skin tone and body weight. This makes women feeling unattractive. Also, there are women on dialysis who became pregnant (1-7%), which is very uncommon. About 50 percent of babies born to women on dialysis survived. Many of these babies are born premature. This year’s CKD Campaign will help create awareness in women’s population with CKD and on dialysis, helping them to bring up issues and discuss with their healthcare providers and also their families. Women with CKD need to know they are not alone in these issues and they have support.
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