Key result
Post-MI sexual counseling guidance clarifies physiological responses, medication effects, and common misconceptions.
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Sexual counseling is an integral component of the rehabilitative process for clients who have experienced a myocardial infarction (MI). This article describes myths and fears concerning the dangers of resuming sexual intercourse after a heart attack, positions for intercourse, and the effects of intercourse on arrhythmias, angina, and blood pressure. The purpose is to provide the results of empirical research to dispel myths and fears and to consider the causes of sexual dysfunction, the changes MI brings about in sexual activity for men and women, and the effects of age, exercise, and antihypertensive drugs on the resumption of sexual activity. Guidelines are provided for conducting a sexual/cardiac history as part of the counseling model with specific information for the post-MI client.
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Seidl et al. (1991) conducted a review in Myocardial infarction and post-MI sexual functioning. Sexual counseling was evaluated. Sexual counseling guidelines for post-myocardial infarction patients address myths, cardiovascular responses to intercourse, and medication effects, with no quantitative outcomes reported.
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