The article by Master, Doctor Mai Viễn Phương - Gastroenterologist - Department of Outpatient & Internal Medicine - Vinmec Central Park International General Hospital.
For many people, sexual activity can trigger symptoms of gastroesophageal reflux disease (GERD). It can lead to heartburn, acid reflux, and difficulty breathing before or during sexual intercourse. This can make sexual activity less enjoyable
1. Overview
Gastroesophageal reflux disease (GERD) is a common health issue related to the increasing rate of the disease and its potential complications. GERD symptoms can have a range of effects, from troublesome to disabling. As a result, it has been pointed out that GERD decreases quality of life due to various disruptive symptoms.
Sexual activity is an important factor that determines physical, mental, emotional, and social happiness. However, most quality of life assessments do not include sexual life. Chronic diseases such as diabetes, coronary artery disease, irritable bowel syndrome, inflammatory bowel disease, and liver diseases may be related to sexual dysfunction due to symptoms or the perception of chronic illness. In terms of cultural and social boundaries, the impact of chronic diseases on sexual life is often not considered unless the patient experiences sexual dysfunction. Sexual intercourse itself can lead to reflux symptoms due to posture changes or partner pressure, especially in women. However, other factors can trigger acid reflux symptoms during sexual activity performed at night after dinner and sometimes after drinking alcohol or smoking, which can harm the esophageal epithelium. Furthermore, medications that reduce the pressure of the lower esophageal sphincter, such as sildenafil, can contribute to acid exposure. On the other hand, sexual activity satisfaction can lead to reduced sensation of reflux symptoms and lower pain, ultimately enhancing quality of life.
For many people, sex is a physical activity that can trigger GERD symptoms. It can cause heartburn, acid reflux, and difficulty breathing before or during intercourse. This can make sexual activity less enjoyable.
2. What is GERD? Symptoms of the disease
Gastroesophageal reflux disease (GERD) is commonly a chronic digestive disorder that causes stomach acid or acidic contents in the stomach to back up into the esophagus.
This is called acid reflux. Reflux occurs due to a malfunction of the lower esophageal sphincter (LES). The lower esophageal sphincter is a circular muscle located between the esophagus and the stomach.
When you swallow, the lower esophageal sphincter relaxes and opens to allow liquid food to enter the stomach. Once the food is in the stomach, the lower esophageal sphincter contracts, and the opening closes. When the lower esophageal sphincter fails to close completely, acid and liquids from the stomach may reflux into the esophagus.
If you have GERD, you may frequently feel a sour or bitter taste in your throat and mouth. Other symptoms of GERD include:
- Heartburn
- Bad breath
- Nausea and vomiting
- Difficulty swallowing
- Difficulty breathing
Over time, esophageal damage can lead to serious health problems, such as esophageal stricture, esophageal ulcers, or precancerous changes in the esophagus, such as Barrett's esophagus.
3. GERD and Your Sex Life
Gastroesophageal reflux disease can diminish the quality of your sex life. To limit this, you should take some preventive measures as follows:
Before sexual activity:
- You should avoid foods, medications, and drinks that trigger GERD symptoms.
- Do not overeat; have a light meal or wait until your food is fully digested before engaging in sexual activity.
- Use antacids, such as Tums or Mylanta. This should be done under the guidance of a doctor.
During sexual activity:
- While engaging in sexual activity, you should be open with your partner about how you are feeling. If you suspect that GERD symptoms might flare up, consider postponing sexual activity.
- Avoid positions that involve lying flat, as this can make GERD symptoms worse.
- Avoid sexual positions that put pressure on the stomach, as this can promote stomach acid production and increase the risk of acid reflux.
- Keep sexual positions semi-upright or fully upright, such as sitting on a chair or standing.
- Stop sexual activity if your GERD symptoms start to flare up. Continuing to strain may make the symptoms worse.
After sexual activity:
- Evaluate how you feel by monitoring when you experience symptoms during sex and see if those symptoms correspond to any foods, medications, or drinks you consumed beforehand.
- Report any GERD symptoms you experience during sexual activity to your doctor. They may prescribe antihistamines or prescription acid reflux medications.
In summary, GERD symptoms can be frustrating and uncomfortable, but you can still manage them for a satisfying sex life. Learning about the triggers can help you avoid GERD symptoms before, during, and after sexual activity.
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References:Bor S, et al. (2014). Sexual activity does not predispose to reflux episodes in patients with gastroesophageal reflux disease. ncbi.nlm.nih.gov/pmc/articles/PMC4245298/ Diet changes for GERD. (2015). aboutgerd.org/site/treatment/lifestyle/diet-changes-gerd Mayo Clinic Staff. (2014). GERD. mayoclinic.org/diseases-conditions/gerd/basics/definition/con-20025201 Symptoms and causes of GER and GERD. (2014). niddk.nih.gov/health-information/health-topics/digestive-diseases/ger-and-gerd-in-adults/Pages/symptoms-causes.aspx Treatment for GER and GERD. (2014). niddk.nih.gov/health-information/health-topics/digestive-diseases/ger-and-gerd-in-adults/Pages/treatment.aspx
