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Sex OK’d for Heart Patients If Illness is Stable

Sex Okay for Most Heart Patients The American Heart Association has good news for those living with cardiovascular disease: They can resume normal sexual activity if the heart disease is stable.

Often men and women with cardiovascular diseases are fearful of sexual relations. And a decrease in sexual activity and function is often related to anxiety and depression.

The AHA statement, published online in Circulation: Journal of the American Heart Association, also contains recommendations by experts from various fields, including heart disease, exercise physiology and sexual counseling.

“Sexual activity is a major quality of life issue for men and women with cardiovascular disease and their partners,” said Glenn N. Levine, M.D., lead author of the statement. “Unfortunately, discussions about sexual activity rarely take place in the clinical context.”

The recommendations include:

  • After a diagnosis of cardiovascular disease, it is reasonable for patients to be evaluated by their physician or healthcare provider before resuming sexual activity.
  • Cardiac rehabilitation and regular physical activity can reduce the risk of cardiovascular complications related to sexual activity in people who have had heart failure or a heart attack.
  • Women with cardiovascular disease should be counseled on the safety and advisability of contraceptive methods and pregnancy based on their patient profile.
  • Patients with severe heart disease who have symptoms with minimal activity or while at rest should not be sexually active until their cardiovascular disease symptoms are stabilized with appropriate treatment.
  • Patients should be assessed to see if their sexual dysfunction is related to underlying vascular or cardiac disease, anxiety, depression or other factors.
  • Drugs that can improve cardiovascular symptoms or survival should not be withheld due to concerns that such drugs may impact sexual function.
  • Drugs to treat erectile dysfunction are generally safe for men who have stable cardiovascular disease. These drugs should not be used in patients receiving nitrate therapy for chest pains due to coronary artery disease (blockages in the arteries that supply the heart with blood), and nitrates should not be administered to patients within 24-48 hours of using an erectile dysfunction drug (depending on the drug used).
  • It is reasonable for post-menopausal women with cardiovascular disease to use estrogen that’s topically or vaginally inserted for the treatment of painful intercourse.

The absolute rate of cardiovascular events during sexual activity, such as heart attacks or chest pain caused by heart disease, is miniscule because sexual activity is usually for a short time.

“Some patients will postpone sexual activity when it is actually relatively safe for them to engage in it,” said Levine.

“On the other hand, there are some patients for whom it may be reasonable to defer sexual activity until they’re assessed and stabilized.”

Source: American Heart Association

Man being examined by doctor photo by shutterstock.

Sex OK’d for Heart Patients If Illness is Stable

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2015). Sex OK’d for Heart Patients If Illness is Stable. Psych Central. Retrieved on December 19, 2018, from https://psychcentral.com/news/2012/01/20/sex-okd-for-heart-patients-if-illness-is-stable/33895.html

 

Scientifically Reviewed
Last updated: 6 Oct 2015
Last reviewed: By John M. Grohol, Psy.D. on 6 Oct 2015
Published on PsychCentral.com. All rights reserved.