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Abstract
This study examines sexual dissatisfaction in men and women with congenital and acquired heart disease. Data were collected among 1664 members of The Norwegian Association of Heart and Lung Patients (LHL), aged 18 – 55 years. Questionnaires were anonymous and self-administered. The response rate was 36%. Data from 42 patients in LHL's rehabilitation clinics were also included. A total of 12% of the sample reported having congenital heart disease. Sexual dissatisfaction was affected by coital frequency, satisfaction with coital frequency and/or the existence of sexual dysfunction in all subgroups. The only significant predictor of sexual dissatisfaction in men with congenital heart disease was fear of having intercourse. Among women with congenital heart disease, orgasm by partner during sex, rejecting the partner's sexual initiative, fear of pregnancy, and conflicts over sex with the partner predicted sexual dissatisfaction. In men with acquired heart disease, rejecting your partner when he/she wants to have sex, talking to the partner about sexual issues, problems related to becoming sexually arousal, rejecting the partner's sexual initiative, fear of erectile dysfunction, self-esteem, and how important sex was perceived for satisfaction with life predicted sexual dissatisfaction. Among the women with acquired heart disease conflicts over sex with the partner, how important sex was perceived for satisfaction with life, orgasm during sex, and fear of intercourse predicted sexual dissatisfaction. Sexual dissatisfaction stem from different factors depending on gender and type of heart disease.
