Sexual life is an indispensable and important activity of life for every healthy individual. Disruption of this activity creates a distressing situation. These can develop due to many factors, from hormonal disorders and side effects of medications to vascular diseases, neurological diseases and psychological disorders. There are various causes of erectile dysfunction (impotence) after coronary bypass.
After coronary bypass, large incisions made on the patient's anterior chest wall and leg to remove veins cause serious psychological trauma. During this process, the last thing patients think about is sexual activities. The healing process of the sternum takes approximately 1.5-2 months. In the early stages, it creates fear in the patient and his/her partner that the bone will be damaged during intercourse. However, there was no trauma due to sexual acts performed outside this period.
After coronary bypass, impotence may develop in the late period, without an organic cause, due to the side effects of various heart medications or the psychological effect of the surgery.
Patients' physical and sexual activities are restricted until the first 2 months after coronary bypass are completed. Patients often worry about having a heart attack during sexual intercourse. In the following period, if there is no problem with the veins inserted during the bypass, they can engage in all kinds of physical and sexual activities.
However, if patients develop symptoms such as chest pain with exertion, shortness of breath and getting tired easily in the following months after coronary bypass, these patients It would be useful to have them checked by having an exercise test. If no problem is detected in the exercise test, there will be no restrictions in sexual activities.
In patients who were normal before coronary bypass but developed impotence in the late period after the operation, the reason for this is the medications used or psychological disorders. For example, blood pressure medications such as beta blockers cause deterioration in sexual functions.
Mechanism of action of sexual performance enhancing drugs
After people are sexually stimulated, nitric oxide (NO) is released from the corpus cavernosum of the penis. NO is guanylase cyclase enzyme It relaxes the smooth muscles by activating the CGMP level and increasing the CGMP level.
The arteries in the cavernous sinuses are relaxed and filled with blood. Meanwhile, blood is trapped in the veins. Thus, the penis becomes erect.
These drugs can be used together with all blood pressure medications, including alpha blocker drugs used for prostate.
Drugs used for sexual dysfunction after coronary bypass. It should be used under the supervision of a doctor and great care should be taken when using it with nitrates.
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