For heart patients

Sex and Heart :  by Dr Piyush Jain  Doctor NDTV....

 

Sexual activity is a normal human instinct, which protects men and women against feelings of isolation. It offers them an opportunity to be free of mental stress and tension by gestures such as touching, hugging, caressing and fantasy. Intercourse is the ultimate expression of sexuality.

Heart patients and their spouses frequently perceive sexual intimacy as stressful or even life threatening. Their fears and doubts are often not clarified by physicians and other health care providers, who may also feel inhibited while discussing sexual matters with their patients. Majority of the patients, therefore receive little or no instructions about resuming sex after a heart attack or heart surgery. Those who are instructed frequently don't receive adequate information. Often the spouse is excluded from counselling. Without proper guidance, both patient and spouse rely on their own knowledge, myths and misconception to cope up with their unfounded fears of sexual inadequacy, impotence and death during intercourse.

Sexual problems in heart disease

Male heart patients frequently report a reduction in frequency and satisfaction of intercourse after heart attack or heart surgery. Sexual desire may decrease, leading to inhibition of feelings and failure of erection. Some men also experience premature ejaculation. Yet, such problems do occur in as many as 40% of happily married normal couples too. A strong emotional relationship between spouses lessens the occurrence of sexual dissatisfaction after a heart attack. Relatively few studies have been carried out regarding sexual activities of female patients with heart disease.

Psychological basis of sexual problems

Two primary psychological reactions interfere with resumption of normal sex after a heart attack:

1. Anxiety: Anxiety results from fear of angina or recurrence of heart attack during sexual intercourse. These fears are frequently based on ignorance about physical demands of sexual activity, when to resume sex and ways to prevent to treat the symptoms. Another contributory factor is patient's perceived change in body image, leading to a feeling of being less of a man or a woman.
   
2. Depression: After a heart attack, many people experience a moderate to severe depression. It prevents the patient from resuming normal; emotional ties with the spouse and may also lead to a decrease in libido. Occasionally, it may cause impotence.

Spouses' responses Forced dependency in hospital setting during a heart attack or surgery may lead to erosion of feeling of self worth and sexual attractiveness for a while. During this time, the spouse can provide much needed support. In reality, many spouses themselves undergo considerable psychological trauma during this period. They wish to reassure their spouse of their love and affection, yet feat the worst. This naturally comes in way of resuming normal sex. Lack of communication or covert communication only helps to reinforce the anxiety of both the partners. The matters may be complicated when the spouse also begins to grudge his/her continued responsibility.

Physical effort of sexual intercourse with spouse is comparable to climbing a flight of stairs or walking briskly. Therefore, most of the people should be able to return to their previous level of sexual activity after recovering from a heart attack or CABG. Here are some practical tips to regain a normal sex life.

• Communication with your spouse This is the first and most important step in resuming a normal relationship. Heart attack or major heart surgery is a stressful experience for both the partners. Recuperation after home coming is the right time to pick up the threads of life once again. An open discussion about apprehensions and anticipations may be more important than the act of sexual intercourse itself at this stage.
  
• Getting started Cuddling for a while without worrying about performance is desirable. Hugging, touching and caressing without penetrative sex and orgasm require very little energy. These may be resumed soon after reaching home. An affectionate gesture this time is good way to express your love before moving on to sexual intercourse.
  
• Time to resume sexual intercourse Sexual intercourse is like any other physical activity. A general rule of the thumb is that sex may be resumed when it is possible to climb 1 0r 2 flights to stairs with angina or breathlessness. This generally means 4-6 weeks following an uncomplicated heart attack, and a little later after heart surgery.
  
• The environment Sexual intercourse should be resumed in familiar surroundings, in a relaxed and restful environment. Room temperature should be comfortable. Extreme temperatures place more stress on the heart.
  
• Don't skip the foreplay While it is never a good idea to cut short the foreplay, it is especially important during convalescence. Besides enhancing enjoyment, foreplay also allows a gradual rise in heart rate, preparing for sex in the same way as warm up stretching exercises prepare for aerobic training.
  
• Desirable positions Whatever the position adopted during sexual intercourse, it should be comfortable and permit free breathing. It was previously thought that when the patient was in bottom or lies side to side rather than the top, the rise in blood pressure during intercourse is less. Little isometric effort is involved in these positions. What should be avoided is supporting the body on hands, when on top.
  
• Things to avoid Digestion of food increases heart rate for a while. Therefore, sexual intercourse should be avoided for 2 hours after a heavy meal to minimise strain on heart. Sex should be avoided when either of the partners is extremely tired, tense, angry or under time pressure.

When sexual intercourse is not advisable If sexual intercourse precipitates severe angina or breathlessness on more than 1 occasion, or when even modest physical exertion precipitates irregular or missed heart beats or ECG changes, it is desirable to resume sexual intercourse after optimization of medical therapy.

Causes of sexual problems in heart disease

• Anxiety
  
• Depression
  
• Preexisting sexual problem
  
• Concomitant stroke during acute heart ailment or heart surgery
  
• Atherosclerosis of aorta or its branches supplying blood to penis
  
• Physical deconditioning
  
• Alcohol and tobacco abuse
  
• Some therapeutic drugs

Sometimes sexual problems encountered in heart disease are caused or aggravated by certain medicines. Some medicines known to cause sexual difficulties are spironolactone, beta blockers, thiazide diuretics, statins, anti-depressants and sedatives and anti-anxiety drugs. Personal physician is the best guide to assess whether particular medicine is responsible for sexual problems. If identifies with reasonable certainty, the offending medicine may be withdrawn. When a medicine is absolutely essential, sex may be scheduled when blood levels of the problem medication are low, that is, about 6-8 hours after dose of the medicine.

Conclusion

Sexual intercourse after a heart attack is not a risky Endeavour. To the contrary, it is normal, also to be desirable and healthy provided it is undertaken with a familiar partner. If someone can walk on a treadmill, climb 2 flights of stairs at a good pace without breathlessness, palpitations or chest pain, his physical condition is good enough to resume normal sex.

(Thursday, October 28, 2010)

 

7 must-know sex secrets

Guys, here's your chance to know the seven sex secrets women wish their partner knew



A good talk is a great aphrodisiac

Many women find talk a great turn-on. For them, talking and feeling loved are very important. Good conversation during walks or while the couple is relaxing can be a great aphrodisiac. A man could tell his woman how much he loves her, which acts as a reassurance that he is with her mentally during those intimate moments.



Many women are anxious about their looks

For a couple that has been together for long, sometimes it is natural that women may feel that their partner may find them less alluring. Because of this some women undress only under the cover of darkness. Caring men can sense such anxieties. There is no need to lie and say she's gorgeous if she isn't, nor is there a need to say that she is not attractive anymore. One can always appreciate and praise what you do find attractive.



For a woman sex isn't separate from rest of her life

On the other hand, men tend to compartmentalise, feeling that stressful aspects of life can be parked mentally and separated from sexual activity. Women need good feelings and experiences during the day to have satisfying sex. How her lover treats her out of bed, greatly influences her response in bed. Inattentiveness, harsh language, rude tones, hurtful words, and criticism can make it difficult for a woman to get involved, feel enthusiastic and be passionate during sex.



An orgasm is not a necessity

Many men feel that a good lover is one who can bring his woman to climactic sexual culmination. It is great to have such moments, but aren't always essential. Many women feel pressure from partners and even from themselves to reach an orgasm. Sometimes instead of having orgasms, women prefer to engage in just foreplay.



Sex need not be a serious act

Playfulness is a great quality. Many men are far too serious about sex. They forget to laugh, be romantically mischievous, have fun. Playfulness and light-heartedness can make intimate moments enjoyable and relaxing. This takes performance pressure off from both partners.



Women cherish non-sexual touching and tenderness

Women love romance, cuddling, hand-holding and kissing. But many women complain that their men never do this except during foreplay. A woman should make her man realise the joy of touching. As you give him a relaxing massage and stroke his face and hair tenderly, he starts experiencing the joy of this kind of non-sexual touching. Tell your man what makes you feel loved.



Warm attention after sex is important

A woman's need for tender moments goes beyond the actual lovemaking. Some women complain that men fall asleep immediately after the act. It is true that when a man is having sex, his endorphin level is very high. Almost immediately after ejaculation, he goes through a refractory phase where he loses his erection and all his systems gear down. In females this phase happens gradually. However, if you don't like him falling asleep immediately, tell him without putting him down. Alternatively, let him sleep in your arms for a few minutes and gently wake him up afterwards.



(Dr Rajan B Bhonsle, consultant in sexual medicine and counselor)







Read more: 7 must-know sex secrets - The Times of India http://timesofindia.indiatimes.com/Life-Style-Relationships-Man-Woman/7-must-know-sex-secrets/articleshow/6780851.cms#ixzz13I1fuAZk

Tenants badly maintaining the place

Keep her happy .....in turn have a happy life.....Bombay Times ..23/10/10

Keep her happy


Keeping your woman happy is just the beginning of changing your relationships for the better.Here are a few relationship tips for men on how to keep a woman happy...


LITTLE THINGS COUNT

If you know she needs help with something,just do it without asking because she will feel like you really do notice what is going on and she will love you for it.Woman do notice and appreciate these things.

DONT TAKE HER FOR GRANTED

Let her know everyday,or at least whenever you are with her,that she is special to you and you want to be with her and no one else.It really is okay to look but dont make a big deal out of how stunning the woman at the next table is.A woman wants to feel like she is the most beautiful in the room in your eyes,so if you want to keep your woman happy,make sure she feels that way.

MAKE HER LAUGH

Women love men with a good sense of humour even though men seem to think that its good looks that attract a woman.If you can make a woman laugh,she will be much more likely to feel connected to you.

BE SENSITIVE

Try to be aware of how she is feeling because unfortunately woman sometimes go through some emotional days.If you are sensitive to whatever she may be going through,she will be aware of it and will definitely appreciate that you care enough to pay attention.



 

Thanks and Regards,
Alok Tholiya (S.E.O) M:9324225699

We offer free ( against deposit) wheel chair,patients Fowler bed,tripods, sticks,walker etc..

www.digambarjains.com
www.aloktholiya.blogspot.com

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Low Testosterone Linked to Alzheimer’s Risk

Low Testosterone Linked to Alzheimer's Risk

Study Shows Low Levels of the Male Sex Hormone May Be a Predictor of Cognitive Decline

By Salynn Boyles
WebMD Health News

Reviewed by Laura J. Martin, MD

Oct. 8, 2010 -- Low testosterone levels in older men with memory problems may signal progression to Alzheimer's disease or even increase the risk for developing age-related dementia.

 

Fat cells can convert testosterone to estrogen

Fat cells can convert testosterone to estrogen and this can also contribute to a low testosterone and thereby affect your sex drive and erectile function.

Read more at: http://doctor.ndtv.com/faq/ndtv/fid/0043829/How_can_my_low_testosterone_level_be_managed.html?cp

 

Thanks and Regards,
Alok Tholiya (S.E.O) M:9324225699

We offer free ( against deposit) wheel chair,patients Fowler bed,tripods, sticks,walker etc..

www.digambarjains.com
www.aloktholiya.blogspot.com

Marigold developers: for home loans and best properties
marigold Mini Party hall at santacruz

Viagra branded a flop for more than half of male users

By Sophie Borland
Last updated at 5:35 PM on 27th September 2010

 

Viagra doesn't work for half of all men who take it, leading doctors warn.

They say the NHS is wasting tens of millions of pounds every year on tablets which don't treat the cause of problem.

Many of the men handed prescriptions by their GP are actually suffering from low testosterone levels, which cannot be treated by Viagra alone.

This is because the impotence pill is dependent on the sex hormone in order for it to work in the first place.

Little blue pills: Viagra will only work if a man already has sufficient levels of testosterone

Instead, doctors recommend that men should have a simple blood test to determine their levels of testosterone.

If found to be low, it can be easily treated with testosterone pills, patches and gels which are all relatively inexpensive.

The NHS spends around £58 million a year on handing out more than 17 million repeat prescriptions for Viagra and other impotence drugs.

So if half of men have low testosterone, millions of NHS money is being wasted.

Low testosterone is a common conditions affecting 40 per cent on men over the age of 40, and one in five of those who suffer some form of impotence.

Although levels of the hormone start to decline with age, some people are affected much earlier on in their lives than others.

It can also be a symptom of an underlying health condition such as diabetes and heart disease so experts say it is crucial that it is properly diagnosed

Typical symptoms include tiredness, mood swings, insomnia - as well as low sex drive, the reason most will visit their doctor.

But sexual health experts warn that many GPs are simply prescribing Viagra by default rather than diagnosing the root cause of the problem

Dr Geoffrey Hackett, a consultant urologist at Good Hope hospital in Birmingham, and former chairman of the British Society for Sexual Medicine said that men with sexual problems could be "wasting hundreds of pounds on tablets" when their real issue is low testosterone.

'Viagra will only work if there are sufficient levels of testosterone. Often men will low testosterone levels wont feel like sex at all.

'They wont want to take a tablet an hour before they plan to do something they don't want to do.

'They will get repeat prescriptions for Viagra in the hope that it will eventually work.'

He added: 'Everybody thinks that Viagra is the panacea for all sexual problems, it's not. There is a lot being wasted on this in the NHS, particularly in diabetes patients.

'Men for whom Viagra isn't working adequately need to have their cases reviewed. If low testosterone is the problem then Viagra won't be the answer on its own.'

He said that by contrast, drugs to replace levels of testosterone 'can change the lives of patients'.

'I can't tell you how many partners of the patients he has helped come back and thank me for giving me back the man that I married.'

Around 90,000 men in Britain have used Viagra since it first went on sale in 1988

The majority buy it themselves from a pharmacy - at a cost of £55 for four tablets - although they have to first pay for a private prescription from their GP

But men can get on the NHS if they suffer from conditions including diabetes, kidney failure, MS, Parkinson's, polio, prostate cancer, or they have had a severe pelvic injury.

Those who are able to show their impotence is causing them severe psychological distress can also get free prescriptions.

Doctors from British Medical Association have called on the Government to change the law allowing more men to get Viagra on the NHS.

They argued that men who could benefit from the drugs were facing discrimination under the current criteria.

Viagra works by enhancing the effects of nitric oxide, a chemical in the body which increases sexual arousal.

Experts believe that nitric oxide is dependent on high levels of testosterone to function, so without it Viagra will not work.

 

Thanks and Regards,
Alok Tholiya (S.E.O) M:9324225699

We offer free ( against deposit) wheel chair,patients Fowler bed,tripods, sticks,walker etc..

www.digambarjains.com
www.aloktholiya.blogspot.com

Marigold developers: for home loans and best properties
marigold Mini Party hall at santacruz