Q: I inherited PKD (Polycystic Kidney Disease) from my mother. I am 36years
old. I have married for 3 years, but I have problem in getting kids. Does PKD
affect Male Fertility/sperms morphology? Can you give some suggestions for my
kidney disease?
A: Normally, Polycystic Kidney Disease (PKD) has no effect on sperms
morphology/male fertility. There are many patients who have PKD get kids. Maybe
your sperm problem is due to other reasons. I suggest you see andrologist.
As for your condition, I provide you the following suggestions.
As you are only 36 and patients with PKD will always have high creatinine
level in their 40s, you really have to take early measures to prevent it. First
you should pay close attention to your blood pressure. If it is high, you should
take medicine to well control it and make sure the pressure is stable.
Second, manage a diet plan. Avoid spicy food, greasy food and stimulating
food such as seafood, beef and mutton.
Third, avoid strenuous exercise, because it may cause pressure on the cysts
and cause inside bleeding or infection. If there is urinary tract infection,
receive treatment early.
Fourth, take regular test to observe the growth of the cysts and observe the
renal function. If the GFR is decreasing, receive treatment to stop the
progressing as soon as possible.
By far, there is no curable treatment in the world. Current treatments for
PKD mainly are surgery and conservative treatment. After surgical removal,
larger cysts disappear, but it makes more room for smaller ones which will grow
faster than before. Therefore, patients should go to surgery room time after
time.
Conservative treatment, is known as Chinese herbal medicine. It can shrink
the cysts and recover the renal function naturally and without any side effects.
However, it takes effects slowly. Generally speaking, patients can see the renal
cyst shrinkage after about one month or longer time.
These are my suggestions for you. If you want more help, you can send your
physical test reports to kidney-treatment@hotmail.com. I will make an analysis and give
you customized suggestions.
