Sex is part of a healthy life. And it can be safe for people who have heart problems. But some of these people may worry about having sex. Or they may have problems having sex or enjoying sex.
If you are having sexual problems, talk with your doctor. Your doctor or another health professional can give you information, support, and advice so you can enjoy sex again.
If you've just been diagnosed, had a heart attack, or had surgery on your heart, you may want to know when it will be okay to have sex again. You can ask your doctor to help you know if or when it's okay for you to have sex.
Some heart patients may have reasons to avoid sex for a while. If you have serious heart problems and have symptoms, like chest pain, when you do anything physical, you probably should avoid sex until treatment stabilizes your symptoms. If you've just had heart surgery, you'll want to make sure that your incision has healed well before resuming sex.
If you are worried about having sex, maybe you're afraid you'll have symptoms, such as chest pain. Or maybe you think that you won't have enough energy for sex. You may even worry that having sex can cause a heart attack.
But sex is actually safe for most heart patients. They don't seem to have any more sex-related heart attacks than other people do.
For both men and women, a heart problem can cause physical changes that lead to sexual problems. For example, some people have less interest in sex. Men may have erectile dysfunction. Women may have symptoms like vaginal dryness.
If you are having sexual problems, talk with your doctor about what treatments are right for you. Treatments may include counselling or medicine.
Talk with your doctor before trying an erection-enhancing medicine. Some medicines for erection problems can cause serious problems if you also use a nitrate medicine, such as nitroglycerin.
If you are having problems, talk honestly with your partner. Your partner may have the same worries that you have. Encourage your partner to come with you to talk with your doctor.
Tell your doctor about any concerns you have. Counselling might be an option for you and your partner. A doctor, nurse, or other health professional might provide this counselling. It may include information and advice on how to resume sex. It may include support or ways to help you relieve anxiety, worry, or fear about sex. It may include treatment for physical problems. The goal is to enjoy sex again.
Sometimes doctors are so focused on your disease that they forget to ask about important parts of your life, like sex. You may have to bring up the subject yourself.
It can be hard to talk about sex, even with the person you are closest to. So it can be even harder to bring it up with your doctor. To be successful, try these tips:
Other Works Consulted
Levine GN, et al. (2012). Sexual activity and cardiovascular disease: A scientific statement from the American Heart Association. Circulation, 125(8): 1058–1072.
Steinke EE, et al. (2013). Sexual counseling for individuals with cardiovascular disease and their partners: A consensus document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professionals (CCNAP). Circulation. Published online July 29, 2013 (doi:10.1161/CIR.0b013e31829c2e53).
ByHealthwise StaffPrimary Medical ReviewerRakesh K. Pai, MD - Cardiology, ElectrophysiologyAnne C. Poinier, MD - Internal MedicineMartin J. Gabica, MD - Family MedicineE. Gregory Thompson, MD - Internal MedicineAdam Husney, MD - Family MedicineSpecialist Medical ReviewerRobert A. Kloner, MD, PhD - CardiologyStephen Fort, MD, MRCP, FRCPC - Interventional Cardiology
Current as ofDecember 6, 2017
Current as of: December 6, 2017
Rakesh K. Pai, MD - Cardiology, Electrophysiology
& Anne C. Poinier, MD - Internal Medicine & Martin J. Gabica, MD - Family Medicine & E. Gregory Thompson, MD - Internal Medicine & Adam Husney, MD - Family Medicine & Robert A. Kloner, MD, PhD - Cardiology & Stephen Fort, MD, MRCP, FRCPC - Interventional Cardiology
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