Resuming sexual activity after a heart attack

Several factors may discourage you from resuming sexual activity with your partner after a heart attack.

  • You may have fears about your performance or about your ability to have sex without angina or other symptoms occurring.
  • You may be depressed after your heart attack. This depression is normal, and in the majority of cases it goes away within 3 months.

Professional counseling may help you to understand and deal with these feelings.

When you and your partner decide to start having sex again, it might be helpful to keep in mind the following:

  • Talk honestly to your partner about your concerns and feelings.
  • Choose a time when you are relaxed and comfortable in a place that will be free from interruptions.
  • Wait 1 to 3 hours after eating a full meal so digestion can take place.
  • Be aware that anxiety on the part of either partner and the use of some medicines may interfere with sexual arousal and performance. Discuss any difficulties with your doctor.

Sildenafil (Viagra) or other erection-enhancing medicines should not be used if you take nitroglycerin (such as Nitro-Bid or Nitro-Dur) or other nitrates (such as Dilatrate-SR, Isordil, or Imdur) either regularly or when needed for chest pain. Taking these medicines together can cause a drop in blood pressure, dizziness, and fainting. But experts agree that for men with stable coronary disease who are not taking nitroglycerin, erection-enhancing medicines are safe.



Author: Robin Parks, MSLast Updated: May 14, 2007
Medical Review: Caroline S. Rhoads, MD - Internal Medicine
Stephen Fort, MD, MRCP, FRCPC - Interventional Cardiology

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