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Sexual dysfunction in heart failure patients
Tiny Jaarsma1, Bengt Fridlund, Jan Mårtensson
1Department of Social and Welfare Studies, Faculty of Health Sciences, University of Linköping, 58183, Linköping, Sweden, tiny.jaarsma@liu.se.
Insights
Sexual dysfunction is common in heart failure (HF) patients, affecting both men and women. This review offers clinicians guidance on assessing and treating sexual problems in HF patients.
Area of Science:
- Cardiology
- Sexual Medicine
- Psychology
Background:
- Sexual dysfunction significantly impacts the quality of life for heart failure (HF) patients.
- Current healthcare often inadequately addresses and treats sexual problems in HF populations.
- Multiple factors contribute to sexual dysfunction, including physical, psychological, and medication-related issues.
Purpose of the Study:
- To provide clinicians with a comprehensive review of sexual dysfunction in heart failure (HF).
- To outline practical steps for assessing and managing sexual problems in HF patients.
Main Methods:
- Literature review summarizing current knowledge on sexual dysfunction in HF.
- Identification of contributing factors and recommended treatment strategies.
Main Results:
- Sexual problems are prevalent in both male and female HF patients.
- Key contributing factors include activity intolerance, psychological distress, physiological changes, cardiac medications, lifestyle, and comorbidities.
- Effective management involves comprehensive assessment and addressing underlying conditions.
Conclusions:
- Clinicians should proactively assess and manage sexual dysfunction in HF patients.
- Treatment strategies include optimizing HF and comorbidity management, addressing psychosocial issues, managing risk factors, and considering pharmacotherapy like PDE-5 inhibitors.
Abstract:
Heart failure has a severe impact on different aspects of a patient's life, including sexual function. Sexual problems are common in heart failure (HF) patients, both in men and women, and are not always adequately addressed and treated in the current health care system. Several factors have been described to be related to sexual problems, such as activity intolerance, psychological factors, physiological factors, cardiac medications, recreational habits and co-morbidity. The current review summarizes knowledge that can help clinicians treat sexual dysfunction in HF patients. After a good assessment, several steps are advised, including improving HF and co-morbid conditions, discussing psychosocial problems, worries and misunderstandings, managing risk factors and considering PDE-5 inhibitors or other libido enhancing agents.
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