Is sex allowed with angina?

Every patient, regardless of how old he is, faced with a myocardial infarction, is interested in: is sex allowed now? It is widely believed that after a heart attack, you can forget about sex forever so as not to risk your health. But fortunately, angina pectoris and sex are not mutually exclusive, and reasonable restrictions can protect the patient from deteriorating health.

How are sex and angina linked?

Every time the chest begins to hurt, it is not only physical, but also emotional stress. Often, pain occurs precisely because of physical activity, and sex is physical activity. If a man experiences pain after sexual activity, it is not surprising that he wants to avoid further attacks and for this he tries not to make unnecessary physical movements.

But here's the problem: by refusing regular sex, a man runs the risk of becoming impotent. The less sexual activity, the lower the sexual function. Impotence develops, which, in turn, negatively affects the functioning of the heart. Everything is interconnected: constant attacks and a nervous state that precedes angina attacks reduce sexual desire and desire for intimacy.

In addition, the occurrence of impotence may be affected by the presence of one of the following diseases:

• hypertension;
• atherosclerosis;
• diabetes;
• other diseases of the endocrine and cardiovascular systems.

Therefore, the answer to the question “Is sex allowed with angina pectoris at 60?” clear: yes. Hypodynamics (low level of physical activity) is a risk factor that increases the potential for a heart attack, so you need to move regularly. Sex allows you to do this and at the same time brings a lot of positive strong emotions that can also have a preventive effect on the patient's body.

The good news is that you won’t have to change your sexual habits much, or maybe not at all. Only 20% of patients who were diagnosed with coronary artery disease experienced minor changes, but no one was prescribed to abstain from sex.

What determines the degree of activity restriction

First of all, when deciding on the restriction of motor activity, the cardiologist monitors the form of the course of angina pectoris or another type of coronary heart disease. There are three forms: stable, unstable and variant.

With stable angina, attacks occur for certain reasons: after physical exertion (including after sex), there are pains in the thoracic region, which disappear only after a few minutes. Predicting an attack of unstable angina is much more difficult, because pain can appear even at rest - for example, in a dream. Finally, variant angina is a very rare form of the disease that has an unusual pathogenesis: pain in the thoracic region is caused by spasms of the blood vessels that feed the heart.

• all men, without exception, are at risk, women - only during menopause;
• age over 50;
• excess weight;
• the presence of bad habits - smoking, alcoholism;
• high cholesterol;
• inactive lifestyle, low physical activity;
• diagnosed diabetes or hypertension.

Cardiologists identify three risk groups, each of which has its own nuances regarding the question of whether it is possible to have sex with angina pectoris.

• patients with 1-3 negative factors;
• the blood supply to the heart was restored surgically;
• the functions of the heart valves are not impaired, or minimally impaired;
• angina flows steadily;
• blood pressure is stable (even if supported by medication);
• More than six months have passed since the heart attack.

• three or more negative factors;
• shortness of breath that accompanies any other physical activity;
• stable angina of moderate severity;
• extracardiac symptoms of atherosclerosis;
• for a period after a heart attack no more than 6 weeks.

The high-risk group includes patients with:

• unstable angina that cannot be treated with medication;
• arterial hypertension, which is not supported by drugs;
• frequent symptoms of heart failure;
• heart rhythm disturbances;
• serious violations of the functions of the heart valves;
• hypertrophic obstructive cardiomyopathy;
• the period after a heart attack is less than 2 weeks.

Those men who take medications to improve erection should consult with the attending cardiologist on this issue.

It is not recommended to define your own risk group. To do this, it is better to consult a doctor so as not to risk it. Moreover, if you follow the recommended preventive measures, you can move from one risk group to another.

Restrictions for patients with ischemic heart disease

The main rule, as noted by cardiologists, is to remember about motor restrictions. It is always necessary to understand what you are physically capable of so as not to overstrain the cardiovascular system.

• you can not regularly change sexual partners. A change of partner may entail an excessive outburst of emotions, with which the heart may not be able to cope;
• avoid intimacy during angina attacks;
• Sex should only be done in comfortable conditions. If a man or woman is in a bad mood or is in a state of stress, it is better to postpone sex until better times;
• you should not make love immediately after a hard day's work - fatigue in no way stimulates sexual activity, but, on the contrary, lowers it. To begin with, it is better to rest for 2-3 hours;
• cannot be active. For a man, for example, the most optimal and less energy-intensive position would be the “on the side, the man behind”, since it does not cause excessive stress on the heart and blood vessel system, while the pose with a man who rests his hands on top, highly undesirable.