The relationship between arrhythmias and sexual activity?
Hello, Doctor He.
I previously asked a question about premature ventricular contractions, and I appreciate your response.
I underwent catheter ablation over a month ago and have had two follow-up visits since then.
During these visits, the doctor listened to my heartbeat and mentioned that while there are still some missed beats, they are acceptable, and he believes there has been improvement compared to before the procedure.
I am scheduled for a 24-hour Holter monitor this month.
I am also trying to relax and not overly focus on this issue.
However, I have a question that is a bit difficult to bring up during the outpatient visit: could sexual activity (or masturbation) potentially trigger premature ventricular contractions? I engage in sexual activity about once a week.
I do not experience any significant symptoms afterward, but I still have some concerns.
Is there a need for abstinence? Thank you for your patience in reading this!
Sam, 30~39 year old female. Ask Date: 2020/08/04
Dr. He Dongjin reply Cardiology
Hello, you can continue your normal life and do what you need to do; there is no need for abstinence if it does not affect you.
Changhua Hospital cares about you.
Reply Date: 2020/08/04
More Info
Understanding the impact of arrhythmia, particularly premature ventricular contractions (PVCs), on sexual activity is an important concern for many patients. After undergoing a procedure like catheter ablation, which is often performed to treat arrhythmias, it’s natural to have questions about how your heart condition might affect your sexual health and activity.
Firstly, it’s essential to understand that PVCs are common and can occur in healthy individuals without any underlying heart disease. They are often benign, especially if they occur infrequently and are not associated with significant symptoms. In your case, since your doctor has indicated that your condition has improved post-ablation and that the PVCs are "acceptable," it suggests that your heart is functioning well enough to engage in normal activities, including sexual activity.
Regarding your specific concerns about whether sexual activity could trigger PVCs, it is generally considered safe for most individuals with a history of PVCs to engage in sexual activity. Sexual arousal and activity can lead to increased heart rate and adrenaline levels, which may provoke PVCs in some individuals. However, if you are not experiencing any significant symptoms during or after sexual activity, it is likely that your heart is tolerating it well.
It’s also worth noting that anxiety and stress about your heart condition can contribute to the frequency of PVCs. Therefore, maintaining a relaxed state during sexual activity may help reduce the likelihood of experiencing PVCs. If you find that sexual activity consistently leads to symptoms such as palpitations, dizziness, or chest discomfort, it would be prudent to discuss these experiences with your healthcare provider.
As for the question of whether there is a need for abstinence, it largely depends on your comfort level and the advice of your healthcare provider. If your doctor has not advised you to avoid sexual activity, and you are not experiencing adverse symptoms, there is typically no need for strict abstinence. However, if you feel anxious or if sexual activity seems to exacerbate your PVCs, it might be beneficial to limit the frequency or intensity of sexual encounters until you feel more confident in your heart's stability.
In summary, while PVCs can be concerning, they are often benign, especially when monitored by a healthcare professional. Engaging in sexual activity is generally safe for individuals with PVCs, provided they do not experience significant symptoms. Always listen to your body, and if you have any doubts or experience new symptoms, don’t hesitate to reach out to your healthcare provider for personalized advice. Your health and peace of mind are paramount, and maintaining open communication with your doctor will help you navigate your concerns effectively.
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