Sexual Problems in Cardiac Patients: How to Assess, When to Refer

  title={Sexual Problems in Cardiac Patients: How to Assess, When to Refer},
  author={Tiny Jaarsma and Elaine E. Steinke and Woet L. Gianotten},
  journal={The Journal of Cardiovascular Nursing},
It is increasingly realized that discussing sexuality is an important issue in the holistic care for cardiac patients. In this review article, the conditions of a good assessment of sexual problems are identified such as creating an appropriate environment, ensuring confidentiality, and using appropriate language. Second, we present different styles and approaches that can be used to start the assessment, differing between settings, persons, or disciplines. The PLISSIT (permission, limited… 


Practical, evidence-based approaches to enable health care providers to discuss sexual counseling are provided, illustrated by several case scenarios, to provide a model for sexual counseling in practice.

Foreword:addressing sexual function in cardiac patients: do we need guidelines?

  • T. Jaarsma
  • Medicine
    The Journal of cardiovascular nursing
  • 2010
It is stated that cardiovascular symptoms such as dyspnea, palpitations, or angina during sex rarely occur in patients who do not experience similar symptoms during exercise levels representing moderate exertion, and that patients need to understand specific sexual problems and various coping strategies.

Sexual counseling and cardiovascular disease: practical approaches

Practical strategies and evidence-based approaches for assessment and sexual counseling for all cardiac patients and their partners, and specific counseling for those with ischemic conditions, heart failure, and implanted devices are provided.

Sexual concerns of cardiac patients: Predictors and the influence of specific sexual activities

  • V. MosackTwyla J. HillE. Steinke
  • Medicine, Psychology
    European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
  • 2015
It is underscores that cardiac patients across a variety of diagnoses and comorbidities often experience sexual concerns, fears, symptoms, and dysfunction, thus illustrating the importance of a thorough assessment of these factors when examining sexual concerns of cardiac patients.

Sexuality of patients with chronic heart failure and their spouses and the need for information regarding sexuality

  • A. V. DrielM. de HossonC. Gamel
  • Medicine, Psychology
    European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
  • 2014
The NSCS-CHF clearly identified the information needs of patients and partners and most needs concerned the areas of symptoms, the relationship and relaxation.

Sexual Knowledge in Patients With a Myocardial Infarction and Their Partners

First MI patients and their partners reported receiving limited information about sexual issues during the cardiac rehabilitation and had limited knowledge about sexual health and sexual activity.

Communicating about sexual concerns within cardiac health services: do service providers and service users agree?

Sexual counselling for sexual problems in patients with cardiovascular disease.

The effectiveness of sexual counselling interventions to counsel adult cardiac patients about sexual problems with usual care was evaluated and no significant differences were reported in favour of the intervention.

Sexual concerns of cardiac patients: A psychometric analysis.

Findings support the use of the SSCI-GCV as a brief and easily administered instrument that can be used to broadly assess sexual concerns in cardiac populations and to inform sexual counselling of cardiac patients in practice.

Sexual Counseling in Patients With Heart Failure: A Silent Phenomenon Results From a Convergent Parallel Mixed Method Study

Cardiac nurses in Germany rarely practice sexual counseling, and the main phenomenon in discussing sexual concerns seems to be “one of silence”: Neither patients nor nurses talk about sexual concerns.



Sex and the heart: what is the role of the cardiologist?

The purpose of this review is to familiarize the cardiologist with sexual issues related to the cardiac patient.

Sexuality of patients with advanced heart failure and their spouses or partners.

  • C. WestlakeK. DracupJ. WaldenG. Fonarow
  • Medicine, Psychology
    The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation
  • 1999
The most important sexual relationship issue of both patients and spouses/partners was related to decreased frequency in sexual relations, and nurses and physicians need to assume interest and provide instruction related to the sexual activity needs of patients and their spouses/ partners.

Understanding the Effects of a Myocardial Infarction on Sexual Functioning: A Basis for Sexual Counseling

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.

Sexual Problems in Heart Failure Patients

  • T. Jaarsma
  • Medicine, Psychology
    European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
  • 2002

Assessment of female sexual dysfunction: review of validated methods.

  • R. Rosen
  • Medicine, Psychology
    Fertility and sterility
  • 2002

Sexual function in patients with advanced heart failure.

Sexual concerns and educational needs after an implantable cardioverter defibrillator.

Sexological Competence of Different Rehabilitation Disciplines and Effects of a Discipline-specific Sexological Training

A brief discipline-specific sexological training for rehabilitation professionals was developed and evaluated in two rehabilitation centers in The Netherlands and showed increase of self-rated sexological competence and of scores on the Knowledge, Comfort, Approach, and Attitudes towards Sexuality Scale (KCAASS) during the training that were maintained at follow-up.

Development of a sexual function questionnaire for clinical trials of female sexual dysfunction.

The results suggest that the SFQ may be a valuable new tool for evaluating and diagnosing subsets of FSD and, ultimately, for evaluating treatments of these disorders.

Sexual dysfunction and cardiac risk (the Second Princeton Consensus Conference).