MEN IN THE BEDROOM: AFTER A HEART ATTACK
The male sexual impulse dies hard. It can survive ageing, disease and trauma, and can live on through major catastrophes such as a heart attack or stroke.
When men emerge from the shock of a heart attack, one of the first questions they ask is, ‘When can I resume sex?’ The usual answer is, ‘When you can walk a kilometre at a comfortable pace or climb two flights of stairs without undue breathlessness.’
On average, this can be achieved within 3 weeks of a heart attack. Although most men are keen to experience intercourse again, they are insecure about whether they can manage it and fearful that it might kill them.
But regular sexual activity is usually no more physically demanding or harmful than other activities involving the same level of exercise and emotion. It should be regarded as safe, provided other activities are safe too. As during all physical activity, blood pressure and heart rate rise during sex, and any associated shortness of breath or anginal pain should be reported to the doctor.
Rather than experiment with new forms of intercourse after a heart attack, men should resume activities they are accustomed too. Most return to their normal activities with their normal partners, but there is no reason why sex with a new partner should be regarded as more dangerous, unless it involves a greater degree of effort.
But while a drink may help, too much alcohol and food may hinder the activity.
A heart attack is often followed by depression, loss and anxiety, which can make significant dents in a previously healthy libido. But these conditions are usually temporary and may be prevented or alleviated by attending a rehabilitation group or by discussing the situation with a doctor, preferably with the partner present.
In some cases the problems are not psychological. Beta-blockers, tranquillisers, sedatives and antidepressants may reduce libido. Being dependent on medication makes some men feel out of control, and this too can reduce sexual interest.
These days it is common for men recovering from a heart attack to attend rehabilitation groups where sexual difficulties are discussed openly. From this they learn that others have similar problems and that many have overcome them. Most recover normal sexual function provided they have support and understanding and attend to any associated problems.
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