Assessing and addressing sexual concerns in individuals diagnosed with coronary artery disease

Abstract

Background/Aims Sexual concerns are frequently reported in people diagnosed with coronary artery disease. These concerns may be related to disorders in one or more phases of the sexual response cycle (i.e. desire, arousal and orgasm). Sexual concerns have been linked to anxiety, depressive symptoms and feelings of despair. As such, nurses should have an understanding of the aetiology of sexual concerns in this population and use appropriate assessment and support strategies. Methods This clinical article discusses several key aspects of evidence-based practice to assess and address sexual concerns in people diagnosed with coronary artery disease. Findings Early assessment of biological, psychological and pharmacological causes of sexual concerns should be carried out. Sexual counselling may be offered to meet specific information needs. Adding pharmacological agents and referring to a sex therapist can be considered to effectively address the sexual concerns of people within this population. Conclusions Approaches to sexual assessment, main information needs of patients with coronary artery disease regarding their sexual health, and support strategies are presented.