It is often expected that among seriously ill patients sexuality is not important. However, satisfaction with sexual functioning is recognized as a component that influences quality of life. Studies show that patients who are chronically or critically ill are concerned about sexual dysfunction. Sexual function has been studied in some chronic disease states, especially in diabetes, cancer, spinal cord injury, and some cardiac diseases. For example, sexual function in patients after myocardial infarction (MI) or after coronary artery bypass grafting (CABG) has been studied since the 1970s and 1980s. More recently sexual function in patients with heart transplantation or heart failure has been studied. It is known that there are many important links between sexual activity and heart disease:

• Heart disease can result in both reduced sexual activity and increase sexual dysfunction, for example due to fear or symptoms.

• Heart disease and erectile dysfunction share important risk factors such as diabetes and hypertension.

• Sexual activity, like all forms of exertion and/or stress, may trigger cardiac symptoms.

• Medications used to treat heart disease may impair sexual function.

• Drugs that are used to treat sexual dysfunction may have serious interactions with medications used to treat heart disease.

All these complicated relationships can keep healthcare providers from addressing the issue of sexuality in patients with heart disease. Healthcare providers may believe that discussing sexuality causes anxiety in the patient, that patients do not want to talk about it, or that another healthcare provider has discussed it. In this chapter we will discuss problems reported by cardiac patients related to resuming sexual activity, facts and myths related to sexual activity, and give some practical pointers in discussing sexuality with cardiac patients.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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