Common Questions On Heart Disease and Sex

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Common Questions On Heart Disease and Sex

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Common Questions On Heart Disease and Sex




1. My doctor says I have
heart disease. I want to know if I can have sex without the pressure? Will my
heart stop if I have an exciting sexual encounter?
(Name withheld upon request,
70 years old)


 From the tone of your question,
I can surmise that you are not planning to have sex with your wife. Studies
show that having sex with your usual partner is safer and would make you spend
just a minimal amount of energy. However having sex with an unfamiliar and
younger partner would make you spend twice as much energy. The excitement, the
unfamiliar territory and the desire to prove your manhood further add to the
pressure.





For your benefit, I have
outlined the following safety measures in such situations: (1) Take your regular
heart medicines before sex; (2) Let the healthy partner do the work or be on
top; (3) Don’t have sex after a heavy meal. Wait at least 2 hours; (4) Schedule
the sex act in the morning, if possible; and (5) Get a medical clearance from
your doctor.





2. Why are my male friends
having heart attacks?
(James, 54 years old)


For all the men out there, I
have some bad news. We’re more prone to get heart disease than the ladies.
Based on statistics, men also die earlier than women. Our life expectancy is on
the average 3 to 5 years shorter than females.





The reasons are two-fold:
genetics and lifestyle. It has long been known that being a male is a risk
factor for heart disease. This is especially true if one or both of your
parents have heart disease. Some experts attribute this difference to
behavioral and cultural factors. Men are expected to work more and thus have to
handle more stress and pressure. They are also responsible for earning for the
whole family. Young men are being groomed by society to be “macho” and to hide
their emotions.






Moreover, more guys smoke,
drink alcohol and abuse drugs. Men also have greater fear of doctors than
women, thus they see a doctor when it’s too late already. So, to the wives and
kids, please persuade your Dad to have a check-up. Health is the best gift you
can give them.















3. I’ve been taking metoprolol
(a heart medicine) for 12 years now. Lately, I am not as “strong” in bed as I
once was. Is it the medicine I’m taking?
(Roland, 50 years old)


 It could be, but I doubt it. You
have been taking your medicine for 12 years already and have done well with it
so we shouldn’t blame it for what you’re experiencing now. However, it is true
that some medicines like the beta-blockers can affect the sex drive. These are
the drugs whose generic names end in the syllable “–olol” kind of like metoprolol
and atenolol.





I would advice you to see a
doctor before stopping these medicines since they are excellent drugs for the
heart. I believe this is just a psychological thing. Your doctor may shift you
to another class of medicines for high blood pressure.





Erectile dysfunction or
impotence could also be due to uncontrolled diabetes, older age, excessive
alcohol and smoking. Patients should not be ashamed to ask their doctor. It’s
part of our job to care for your sex life.





4. Why is it that my heart beats
very fast when I get excited or nervous? What’s the first aid in this situation?

(Nenita, 27 years old)


During times of emotional
stress, the body releases a certain hormone called epinephrine. This hormone is
a built-in mechanism of the body to fight off danger. You have heard of
somebody being able to lift a sofa all by himself during a fire. Well, that’s
epinephrine. It brings out the superman in man. The heartbeat can go as fast as
150 beats per minute during stress.





Aside from emergencies, more
common situations like getting angry, giving a speech, or worrying a lot, also
releases other hormones. A little stress is alright, but too much stress will
put undue strain on your heart and may cause it to fail.





For anxious people, I sometimes
prescribe a sedative, which is very effective in relieving temporary stresses.
You can take it if you need it but just don’t take it too often. Better yet,
try to breathe slowly and deeply and think of a peaceful place to soothe your
mind.













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