Sexual Activity 和 Heart Disease

Is sex safe for people with 心脏病?

Readjusting to everyday life can be tough for people with 心脏病. You wonder about everything: Should I eat this food? 我可以做那个活动吗? Can my body deal with the stress?

Among the many questions is whether 心脏病 will affect your sex life — or if it’s safe to have sex at all. According to the American Heart Association, it is probably safe to have sex if your 心脏病 has stabilized.

Cardiovascular events — such as 心脏病发作 or chest pain caused by 心脏病 (心绞痛) — rarely occur during sexual activity, because sexual activity is usually for a short time.

If you have unstable 心绞痛 or if your symptoms are severe, 你应该接受评估, treated 和 stabilized before having sex.

Further research is needed on sexual activity in specific cardiovascular conditions, particularly in relation to women 和 older adults.

Don’t be shy about starting a conversation with your health care professional about 心脏病 和 your sex life.

Here’s what you need to know if you’ve been diagnosed with 心脏病:

• Ask your health care professional to evaluate you before resuming sexual activity.
• 如果你有过 心脏衰竭 或者心脏病发作， 心脏康复 和 regular physical activity can reduce the risk of complications related to sexual activity.
• If you’re a woman thinking about starting birth control or getting pregnant, be sure to talk to your health care professional first.
• If you’re experiencing sexual dysfunction, check with your health care professional to see if it could be related to 心脏病 or to anxiety, depression or other factors.
• 不要跳过 药物 that could improve cardiovascular symptoms because you’re concerned they could impact your sex drive or function. Your heart health should come first!
• Drugs to treat erectile dysfunction are generally safe, although they shouldn’t be used if you’re receiving nitrate therapy for chest pains due to 冠状动脉疾病. Nitrate therapy also shouldn’t be administered 24-48 hours after using an erectile dysfunction drugs (depending on the drug used).
• If you’re a post-menopausal woman with 心脏病, it can be beneficial to use estrogen that’s topically or vaginally inserted for the treatment of painful intercourse.