Sexual dysfunction in chronic liver disease: Is liver transplantation an effective cure?

Patrizia Burra, Giacomo Germani, Annalisa Masier, Eleonora De Martin, Martina Gambato, Andrea Salonia, Patrizio Bo, Alessandro Vitale, Umberto Cillo, Francesco Paolo Russo, Marco Senzolo

Research output: Contribution to journalArticle

Abstract

The goal of liver transplantation is not only to ensure patient long-term survival but also to offer the opportunity to achieve psychologic and physical integrity. Quality of life after liver transplantation may be affected by unsatisfactory sexual function. Before liver transplantation, sexual dysfunction and sex hormone disturbances are reported in men and women mainly due to abnormality of physiology of the hypothalamic-pituitary-gonadal axis and, in some cases, origin of liver disease. Successful liver transplantation should theoretically restore hormonal balance and improve sexual function both in men and women, thus improving the reproductive performance. However, after transplantation, up to 25% of patients report persistent sexual dysfunction, and approximately one third of patients describe the appearance of de novo sexual dysfunction. Despite the described high prevalence of this condition, epidemiologic data are relatively scant. Further studies on pathophysiology and risk factors in the field of sexual function after liver transplantation along with new strategies to support and inform patients on the waiting list and after surgery are needed.

Original languageEnglish
Pages (from-to)1425-1429
Number of pages5
JournalTransplantation
Volume89
Issue number12
DOIs
Publication statusPublished - Jun 27 2010

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Keywords

  • Erectile dysfunction
  • Liver cirrhosis
  • Liver transplantation
  • Quality of life
  • Sexual dysfunction

ASJC Scopus subject areas

  • Transplantation

Cite this

Burra, P., Germani, G., Masier, A., De Martin, E., Gambato, M., Salonia, A., Bo, P., Vitale, A., Cillo, U., Russo, F. P., & Senzolo, M. (2010). Sexual dysfunction in chronic liver disease: Is liver transplantation an effective cure? Transplantation, 89(12), 1425-1429. https://doi.org/10.1097/TP.0b013e3181e1f1f6