A 64-year-old man had a myocardial infarction (MI) 2 months ago. He has recovered to the point that he is able to climb up two flights of stairs, but he and his spouse have not resumed sexual relations
Which of the following responses by the nurse is most appropriate?
A) "Is angina interfering with your sexual functioning?"
B) "This lack of libido is caused by vasoconstriction in the genital area."
C) "You are safe to have sex; you can resume sexual relations when you desire."
D) "You may have a problem with retrograde ejaculation."
Ans: C
Even when no physiologic basis exists for abstaining from sexual intercourse after an MI, sexual activity is often limited or absent because of fatigue, depression, diminished sexual desire, and fears and anxiety of the person or the sexual partner. Diabetes can cause retrograde ejaculation. An MI does not cause vasoconstriction.
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