Safer Sex After Open Heart Surgery
As soon as你或亲人听到“开放心脏手术”的问题洪水。第一个通常不是关于性和亲密关系。最终，尽管如此，你会想知道，开放心脏手术后的“正确的时间”是什么时候进行亲密关系？
First, realize that intimacy does not equal sex alone. Even directly after surgery, closeness can continue just by holding hands. Also know that doctors, nurses, and caregivers are there to guide you as you resume all normal activities, including sex. These providers may only know that intimacy is a concern if you bring it up, but they are always ready to listen and help you through any worries.
通常，患者手册用于开放式心脏外科提供了一致的关于这一主题的建议：在恢复大约四周后，手术后，手术后性别被认为是好的。你可能会感到惊讶地知道，甚至在提升权重或开始康复之类的事情之前，性别也可以。事实上，性别不必像你通常的运动常规一样艰苦。
那么你怎么知道你准备或觉得舒适的时候？考虑这三个因素来帮助您决定：
Sternal precautions
Sternal rest—a way to保护破碎的骨头由于它在手术后愈合 - 是op op恢复的长期部分。如果没有这些预防措施，胸骨会在愈合期间分离，产生感染，或以其他方式刺激周围组织。至少六到八周，有时长达12周，标准指南表明您应该避免举起;推动并将自己从椅子上拉，楼梯或床;在你的肘部层或后面到达。
在亲密关系中,额外的胸骨的预防措施about your comfort and confidence. Everyone heals differently from wounds, and the recovery from damage to the chest wall is no different. Even if your six to eight weeks of precautions are past, your collarbone, ribcage, and muscles around the broken bone may still be sensitive to pressure or sudden movement. Likewise, nerve pain in the same areas might cause sharp pains with activity that feel scary.
These lingering chest wall pains are not always discussed in detail before discharge, but they are so important to your quality of life. Attending a good门诊心脏康复计划经常从您的活动改善和胸骨疼痛减少的时间左右开始。康复的专业人士是有关在亲密关系期间的努力安全和可能发展的胸部疼痛的痛苦的问题。
To find a way to intimacy while you wait for your nerves, muscles, and bones to rebuild, try to initiate sex slowly andkeep exertion low自始至终。尝试避免胸部顶部的额外压力的位置，特别是在前几个月内。使用额外的枕头来支撑你的肩膀和颈部也可以减轻应变。女性尤其是女性在胸骨愈合后，可能会在胸部区域体验神经或肌肉疼痛;反逆止痛药可以最大限度地减少这些刺激性。
Fatigue
Immediately after your return home, getting plenty of rest is a primary concern. As the days and then weeks pass, you will get stronger, stay awake longer, and be more active between naps. But, it’s important not to do too much activity too soon and to pace yourself. Restful periods are especially important after some physical activity: Spread activity throughout the day, andbalance these active periods，包括性别，休息时期，让自己保持健康的恢复轨道。在恢复期间，自发性不太重要，睡眠是一个优先事项，特别是在整天之后的晚上。考虑在当天早些时候的性别或亲密时刻的时间，或者在你刚刚休息后，在其他事件疲惫不堪之前。
Medications
手术后的药物可能是男女亲密关系的令人惊讶的源。许多不同类型的药物can decrease the libido in either partner, or even increase feelings or intimacy and sexual desire can results. After heart surgery, it’s common to need medicines to keep blood pressure low and heart rate steady.
用于心脏压力和速率
Two types of post-opblood pressure medicinesoften cause sexual side effects. Diuretics reduce extra body water and reduce blood flow to sexual organs in men and women. These drugs, like HCTZ or spironolactone, also can reduce testosterone production to decrease libido in men. Beta blockers like propranolol and metoprolol affect both men and women, too. Beta blockers keep the heart rhythm slow and steady, but they also increase tiredness and block nerves that help arousal.
For reflux
在手术后在医院时，您可能会收到药物以减少胃酸。H2像Facotidine或Ranitinine（Pepcid或Zantac）一样阻滞剂通常仅在手术后短时间使用。如果需要更长时间或高剂量，男性可能会经历阳痿和低精子计数 - 并且更常用于西乙胺（Tagamet）而不是其他H2阻滞剂。
For emotions
抑郁和焦虑是正常的经过一个压力的经历，如开放的心脏手术。抗抑郁药可用于治疗两者，似乎减少抑郁或焦虑会改善亲密关系。然而，这些药物可以改变你对个人联系的看法。
Two common classes — SSRIs like fluoxetine (Celexa) and tricyclic antidepressants — can decrease men’s and women’sfeelings of closeness与合作伙伴。SSRIS还造成身体问题，通常在治疗的第一周内：男性的勃起功能障碍，女性阴道干燥，以及在两个人中实现高潮的挑战。
Recovery from open heart surgery is hard enough without giving up on intimacy, too. Remember to trust yourself and your body as you add more physical — and sexual — activity.Talk with your partner寻找保持亲密的方法，诚实地宣传焦虑或其他减少亲密的情绪。
