SEX AND HEART ILLNESS: CORRECTING SEXUAL PERFORMANCE PROBLEMS

So now you understand the various things that can go wrong in your sex life. The question, of course, is, What can be done about this? Treatment for any sexual performance problem can involve specific therapeutic interventions, but much of the treatment for each of these conditions is based on the foundation concepts explained in the following pages. Even if you are not regularly experiencing sexual performance problems, the following comments should prove quite helpful in improving your sexual relationship.
In discussing your sexual relationship with each other, I encourage you to remember that you are dealing with an important and complex topic, one that probably carries with it many feelings of vulnerability for each of you. Remember that sexual relating involves an intimate interplay of many aspects of your physical, emotional, and relationship patterns. When the specter of heart disease is added to this picture, things get even more complex. Improving your sex life therefore necessarily involves problem solving on multiple levels.
In organizing your efforts to enhance your sexual relating, it is helpful to understand and discuss your own and your partner's sexual responsivity from the following vantage points: biology, behavior, emotions, sexual beliefs, relationship styles, personality dynamics, and sensory experiences.
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TAKING ESTROGEN

With the onset of menopause, many women suffer from hot flashes and night sweats. Arlene March, 56, a Los Angeles psychotherapist, says she started getting hot flashes 5 years ago. “I’d be working,” she recalls, “and suddenly feel intense heat all over my body. I’d break out in a sweat. I’d have to stop work. Then Dr. Mishell prescribed estrogen pills, and I’ve not had a day of discomfort.”
Some women experience a drying and thinning of vaginal tissues in the absence of estrogen, making sex painful. They also might suffer urinary tract infections and incontinence. Estrogen therapy often helps.
Among the physicians consulted, the most cautious was Dr. Morris Notelovitz, founder of the nation’s first Menopause Center, at the University of Florida, and head of the Women’s Medical and Diagnostic Center in Gainesville, Florida. He says each symptom needs a different treatment and advises that genital tract problems be given estrogen treatment for a couple of years at most. He also urges special measurements of the bones before prescribing estrogen therapy for osteoporosis.
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WOMEN’S HEALTH

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ERECTILE DYSFUNCTION SYMPTOMS

Most patients have a combination of two or more of these problems. They are usually first given a thorough medical history and examination to determine the extent of the prob­lem and to hopefully pinpoint a cause. I want to briefly outline the nature of these four symptoms so that your problem will make more sense to you as a patient if you are experiencing any of them.

PRESCRIBED DRUGS

Taking prescribed medications with most vitamins is safe as is taking herbal complexes that are available through health food stores. However, you should always check with your doctor, your pharmacist or your naturopath. They are all trained to know what can go with what.

Weight loss

Overweight is most commonly a result of overeating and lack of exercise. Overweight and fluid retention often go together with people who have glandular problems or under-active thyroids. In such cases an iodine and phosporous deficiency may be the cause.

 

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