Sexual dysfunction in hemodialysis patients: Prevalence and risk factors in Morocco.

This research was designed to investigate the prevalence and risk factors associated with sexual dysfunction in women with chronic renal failure on hemodialysis in the Marrakech-Safi region of Morocco. A questionnaire was distributed to 225 sexually active married CKD patients undergoing hemodialysis. Their results were compared with those of 120 healthy, sexually active married women matched for age and socioeconomic class. The present study showed that 76.4% of the women had sexual dysfunction. The total sexual function scores of hemodialysis patients (19.44 ± 6.3) were significantly lower than those of the control group (27.42 ± 4.8; p < 0.001). Sexual dysfunction was influenced by age (OR = 2.721; CI 2.168­3.745; p<0.001), etiology of chronic renal failure (OR = 4.645; CI 2.783­7.286; p 0.001), biological data (OR = 5,837; CI 5,112­9,371; p<0.001), associated co-morbidity (OR = 2,193; CI 1,424­3,412; p 0.01), and months of dialysis duration (OR = 3,345; CI 1,215­10,573; p<0.05). This study revealed a significant prevalence of sexual dysfunction, and more effort in diagnosis and management should be made.

Cette recherche a été conçue pour connaître la prévalence et les facteurs de risque associés à la dysfonction sexuelle chez les femmes souffrant d'insuffisance rénale chronique sous hémodialyse à la région de Marrakech-Safi au Maroc. Un questionnaire a été distribué à 225 patientes atteints d'IRC au stade d'hémodialyse, mariées sexuellement actives. Les résultats obtenus ont été comparés à ceux de 120 femmes mariées sexuellement actives en bonne santé appariées selon l'âge et la classe socioéconomique. La présente étude a montré que 76.4 % des femmes avaient une dysfonction sexuelle. Les scores de la fonction sexuelle totaux des patientes hémodialysées (19,44 ± 6,3) étaient significativement inférieurs à ceux du groupe témoin (27,42 ± 4,8 ; p < 0,001). La dysfonction sexuelle était influencée par l'âge (OR= 2,721; CI 2,168 -3,745 ; p<0.001), l'étiologie de l'insufisance rénale chronique (OR=4,645 ; CI 2,783 - 7,286 ; p<0.001), les données biologiques (OR=5,837; CI 5,112 - 9,371; p<0.001), les comorbités associées (OR=2,193; CI 1,424 - 3,412; p<0.01) et la durée de dialyse en mois (OR=3,345; CI 1,215 - 10,573 ; p<0.05). Cette étude a révélé une prévalence importante de la dysfonction sexuelle et plus d'effort en matière de diagnostic et de prise en charge devraient être fait.

The North-East Moroccan physicians' management of menopause: Prescription vs. nonprescription of hormonal treatment

This study examined the management of North-East Moroccan physicians of menopause. The poll was carried out on a representative sample of physicians in the Nador region. The sample included gynecologists and general practitioner physicians in both public and private medical sectors. The survey contained focused and open-ended questions on the good knowledge or not of physicians about menopause, their patient population, their prescribing practices, their perceptions, and the different medical approaches to managing the symptoms of menopause. Among the general practitioners interviewed, only 16% of physicians are very knowledgeable about the management of menopause and only 3 physicians have followed continuous training. The others have mainly acquired their information from the internet, medical journals, and scientific magazines. Only one-third of physicians interviewed prescribe menopausal hormonal treatment in this region. The treatment is mainly prescribed to cope with hot flashes (97.1%) and menstrual cycle disruption (85.7%). Others are in favor of non-hormonal treatments and advise women to change their bad daily habits to relieve symptoms. In this region of Morocco, hormonal treatment for menopause is not very common and the majority of general practitioners are not familiar with menopause. (Afr J Reprod Health 2022; 26[6]:116-124).