Abstract
In men with chronic renal failure, disturbances in the pituitary-gonadal axis can be detected with only moderate reductions in the GFR and progressively worsen as the renal failure progresses. These disorders rarely normalize with initiation of hemodialysis or peritoneal dialysis and, in fact, often progress. By comparison, a well-functioning renal transplant is much more likely to restore normal sexual activity, although some features of reproductive function may remain impaired (3).

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