Sexual Concerns and Sexual Counseling in Heart Failure
Article first published online: 8 DEC 2009
© 2009 Wiley Periodicals, Inc.
Progress in Cardiovascular Nursing
Volume 24, Issue 4, pages 141–148, December 2009
How to Cite
Medina, M., Walker, C., Steinke, E. E., Wright, D. W., Mosack, V. and Farhoud, M. H. (2009), Sexual Concerns and Sexual Counseling in Heart Failure. Progress in Cardiovascular Nursing, 24: 141–148. doi: 10.1111/j.1751-7117.2009.00052.x
- Issue published online: 8 DEC 2009
- Article first published online: 8 DEC 2009
- Manuscript received April 20, 2009; revised July 2, 2009; accepted July 29, 2009
Patients with heart failure (HF) face significant challenges in maintaining quality of life (QOL), particularly for sexual intimacy. Although recommended for all cardiac patients, it has been suggested that few HF patients receive sexual counseling. This study explored sexual counseling needs, sexual concerns, and sexual activity using a descriptive survey with HF patients (n = 45), recruited from a HF clinic or cardiology office. Most (77%) had not discussed sexual concerns with a health care professional (HCP). Sexual concerns that were rated as occurring 'occasionally/frequently' included partner overprotectiveness (63%), partner fear of sex (36%), lack of sexual interest (42%), erectile problems (74%), orgasmic difficulties (51%). Frequency of sexual intercourse before HF to present was striking, with 53% reporting no sexual activity in the last 2 months compared with 11% before diagnosis of HF. HCPs must provide sexual counseling to HF patients and partners to enhance QOL and to assist in any adaptations to sexual activity.