Sexual activity is very beneficial both spiritually and physically. It may provide some of the benefits (or even more) of a slow jogging exercise in heart patients. Cardiology Specialist Prof. Dr. Murat Gençbay wrote about sexual life in heart patients. Dr. Gençbay, “Unfortunately, sexual problems are very common in heart patients. We frequently encounter problems such as erectile dysfunction or lack of sexual desire. Patients usually do not convey these problems to their cardiologists. "For this reason, the doctor has a lot of work to do here, it is necessary to question the patient carefully about this issue," he said.
Erectile Problem Increases the Risk of Heart Attack
Erection Problem Dr. says that the problem is of vascular origin in most cases. Gençbay continued his words as follows: "Due to the deterioration in the veins leading to the penis, there is not enough pressure and there is a decrease in erection. In fact, erectile dysfunction increases the risk of heart attack within 3-4 years. For this reason, it is beneficial for men with erection problems to have their cardiovascular system checked. Another important cause of erectile dysfunction is the anxiety, fear and depression experienced by people who know they have heart disease. "Depression is quite common after a heart attack, after bypass, and after major surgeries such as valve replacement," he said.
Sexual Life May Be Risky After Overeating in Heart Patients
Sexual During activity, the heart rate increases to a maximum of 130. Blood pressure also goes up to around 170. Dr. Gençbay, “A normal sexual activity is equal to the effort of climbing 2 flights of stairs on average. It is possible to understand this easily with the stress test. Heart rate and blood pressure may exceed these values after a foreign partner, overeating, or excessive alcohol consumption. For this reason, it is important for heart patients to avoid these risky situations,” he said.
Time to Return to Sexual Life After Heart Diseases is Important
Sexual activity includes climbing two flights of stairs. an equivalent activity. (3-5 METS)Dr. Gençbay, “During the stress test, it is possible to predict which activities the patient can do without any problems, along with other parameters. is happening. You can return to sexual life by performing an exercise test 1 week after an uneventful heart attack. "If the patient has had a complicated heart attack, it is necessary to suspend sexual life until the problems are resolved," he said and added: "After a normal and trouble-free bypass surgery, sexual life can be resumed 6-8 weeks later, if the sternum (dagger bone) has fully healed. In addition, in angiography patients, if the cardiac angiography was performed in the groin, it would be appropriate to wait a few days for the area to fully heal. "Recently, we have been performing angiography from the wrist in most of the patients. In these cases, there is no need to take a break if a balloon or stent procedure has not been performed," he said.
Sexual Problems Are More Common in Heart Failure Patients
Stating that sexual problems are most common in heart failure patients, Dr. Gençbay continued his words as follows: “Interestingly, these are the groups that demand the most help for sexual life problems and care about this problem the most. If heart failure patients can go out without rest twice, there is no need to restrict sexual life. In groups where shortness of breath occurs even in the simplest tasks, sexual life should be suspended until heart failure is controlled.”
What Should Sexual Life Be Like in Those with Congenital Heart Disease?
Dr. Gençbay said, “Sexual life does not pose a risk in most congenital heart patients. As in the others, the 2-flight rule of stairs applies here too. If they can do this level of exercise without any problems, their sexual life is also problem-free. Otherwise, the situation should be stabilized with medications and then sexual life can be resumed. Genetic counseling is beneficial for some congenital heart diseases. "If pregnancy and birth are thought to be risky, pregnancy prevention methods should be discussed with the doctor," he said. It does not cause rhythm problems except in very rare cases. On the contrary, there are publications showing that some extrasystoles that increase with exercise testing do not increase during sexual activity. Dr. Gençbay, “Sexual life in battery patients can be decided according to the criterion of 2 flights of stairs. If he/she can comfortably perform this level of effort, There is no problem with the first activity either. He concluded his words by saying, "The spouse of the person who is shocked does not feel the shock, so there is no need to worry about it."
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