SUPER MARITAL SEX: SEX AND THE HEART: SOME RECOMMENDATIONS OF THUMB TO APPLY TO THE ISSUE OF HEART DISEASE AND SEXUALITY
Monday, May 18, 2009 | 7:03 amDon’t watch or feel for symptoms. They will get your attention if they occur. If they do (tightness in the chest, chest pain, shortness of breath), don’t panic. Just slow down, hug, rest, and talk. Report these symptoms to your doctor, but remember, many such symptoms are insignificant or not as pronounced as you may think. Always call the doctor, but do not jump to conclusions. Don’t lie there alone and worry. Share with your partner. Your doctor will probably reassure you anyway. If you coming to worry, both of you should watch as the partner with the heart ðãîblems exercises vigorously under carefully monitored medical conditions. Have the doctor explain to you what all the tracings mean. Healing can be takin8 place in the heart even when there are some abnormal findings, even when symptoms persist. Symptoms do not necessarily mean a setback in healing. If you still worry, suggest that the doctor send the spouse with the heart problem home with an ambulatory heart monitor attached. Have sex record when you had sex and any symptoms you might have had, and go together to discuss the results. You will probably be very relieved.
Your doctor will prescribe an exercise program. The days of staying in bed after a heart attack are over. Activity heals, but only at a medically monitored and prescribed rate, and that includes sexual activity.
If you have pain, ask about using nitroglycerin, long-acting nitrate preparations, or other medications. Be sure to ask when and how these medications should be used. Some should be taken at regular intervals, while others should be taken several minutes before sexual activity.
Remember, there is much more to sex than intercourse. Talk with your doctor about all of sex or he or she might assume that sex equals coitus. No single sexual activity is more dangerous than any other.
The spouse with the heart problem does not need a spousal nurse. He or she needs a loving sexual partner who expresses his or her own sexual needs vigorously and honestly. If the patient sees your comfort and freedom, he or she will learn the same approach. The patient must learn to protect himself or herself, and attempts by a spouse to protect the heart patient typically backfire into more fear, loss ot self-esteem, and even resentment. Don’t let any disease take the heart out of your sex life.
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(posted in General health)
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