It’s winter again, the high season for unexpected cardiovascular disease. This is because blood pressure often spikes because of the cooling temperatures. At this time, some older people are beginning to worry that having sex is likely to be a challenge to their bodies and whether they will experience elevated blood pressure or even conditions such as myocardial infarction during sex. Experts reminded that sex can be a good medicine for the elderly, physical conditions allow, can enjoy this bed exercise. But like coronary heart disease, hypertension of the elderly male patients, it is best to control the condition, and ask experts to prescribe an exercise, through objective examination to assess the heart function, to ensure that in the safety of the premise of conjugal sex. Sexual life of domestic elderly is not optimistic: Sexual life should not come to an end when you enter old age. Zhang Yadong, M.D., a urologist at the First Hospital of Sun Yat-sen University, said sex has an anti-aging effect maintaining a normal sex life can prevent disuse atrophy of the sex organs. In addition, sexual excitement is also a good medicine for senile depression. Sex can meet the psychological needs of elderly couples, which is very beneficial for them to take the initiative to overcome their depressed mood, revitalize their spirits and lead a good life in their old age. Clinically, sex has been found to have a stimulating effect on endocrine and metabolism. Older women who have sex obviously look younger and more radiant than those who do not have sex, and the former have better overall health and mental status than the latter. In foreign countries, the elderly are very interested in sex, as long as the physical condition allows, will not actively give up this “pleasure sport”. A survey in the United States involving 3,005 older Americans aged 57 to 85 years old, the results show that in the 57-64 year olds, 73% have regular sex with their partners (two or three times a month); in the 64-75 year olds, 53% (two or three times a month); in the 75-85 year olds, there are more than 20% of people have sex with their partners (about once a month). However, in China, the situation of sex life of the elderly is less optimistic. Zhang Yadong said, many elderly people (after more than 60 years old) rarely have sex, partly because they sleep in separate beds with their partners, or because their partners are sick, they slowly lost their sex life. The elderly are worried about orgasms causing “immediate wind”: for the elderly, sex can be a challenge, and it is likely that during sex, blood pressure will rise, and even myocardial infarction and other conditions. This may also be a reason why they are not enthusiastic about sex. Wu old man suffering from hypertension and coronary heart disease, he said, he did not have sex from suffering from coronary heart disease, worried about his heart, blood pressure can not stand this stimulation. So how much does having sex have an effect on blood pressure? Zhang Yadong said that studies have shown that blood pressure rises in healthy men during the orgasmic response to sexual desire, systolic pressure can increase by 40-100 mm Hg, diastolic pressure by 20-50 mm Hg, breathing more than 40 times / min, heart rate increases by 50-100 times / min on top of the usual. These changes occur quickly, often taking only 1-2 minutes. This level of violent reaction before the onset of orgasm may induce a heart attack, also known as the “immediate wind”. However, accidents during sexual intercourse are an isolated occurrence, and the causes are more complex. At present, both cardiologists and urologists believe that there is no need to be overly cautious about avoiding sex after suffering from heart disease, and that coronary heart disease is not a no-go area for sexual activity. Few patients with coronary artery disease clinically consult whether they can have sex, but this is also an issue of concern to cardiologists. In general, the level of oxygen consumption during sex is only equivalent to climbing two flights of stairs in one minute (with a heart rate of no more than 120 beats per minute). If this level of exercise can be achieved without arrhythmia or angina, older adults can safely enjoy sex. It is best for older adults to ask their doctor to prescribe an exercise program. In addition to an objective examination to assess heart function and the degree of injury, it is also possible to measure the endurance and intensity of the exercise. This will give the patient very scientific guidance to have sex in a safe condition. After the age of 50 sex pay attention to the choice of position: many Americans believe that after 50 is the “second honeymoon”, of course, depending on their health status, habits, etc.. Generally speaking, 65-year-old people can have sex once a week or more, more than 75 years old can have sex 0.5-1 times a week, more than 80 years old can have sex once every two months. In addition, it is very important to pay attention to the choice of position. Tests have found that healthy people have intercourse, male top or male bottom style has no significant effect on heart rate and blood pressure, but there is a difference for coronary heart patients. Male up, men to active force, obviously will increase the burden on the heart, so in order to reduce the physical exertion of the elderly during sex, its sexual position can be taken side lying, sitting (men sitting on a chair with armrests), standing or female up position. With chronic diseases must be stabilized before having sex. For example, through the exercise prescription, the assessment shows that the heart function and blood pressure status can be sex, but if the “temporary” headache, dizziness and other symptoms, or diastolic blood pressure up to about 120 mm Hg should avoid sexual intercourse, because excessive excitement during sexual intercourse can trigger cardiovascular accidents. Patients with coronary heart disease, chest tightness during or after intercourse, palpitations or dyspnea, which suggests that you can not have intercourse activities. It is worth noting that sublingual nitroglycerin tablets before intercourse or monthly nitrite drugs do not prevent angina pectoris and can sometimes induce heart rhythm disturbances and myocardial infarction. If the erectile function is not very good, the elderly can also use drugs to improve erection to help sex, but do not use “aphrodisiacs”, in short, the elderly with drugs to improve ED, all need to be used under the guidance of male specialists. Reminder: the elderly should be fully prepared before sex, there are taboos, can not be arbitrary, the following cases should not have sex: ① just after a hot bath; ② long trips or work over fatigue; ③ happy too much; ④ full meal or after drinking alcohol; ⑤ vaginal dryness, bleeding or inflammation of the woman.