Subscribe
Getting back in the saddle after a heart attack can be a daunting task — but it doesn’t always have to be.
Understandably, many people are worried – after all, sexual activity is not a walk in the park for our bodies. For our hearts, sex feels similar to physical exercise since it increases heart rate and oxygen consumption, as well as raises blood pressure. The thing is, physical exercise of various types is often a part of cardiac rehabilitation programs, which means it is ok to introduce sex back into your life, as long as you are being careful.
When can you have sex after a heart attack?
Unfortunately, there is no one-size-fits-all answer to this question. The timing for resuming sexual activity after a heart attack varies from person to person and depends on individual health factors, the severity of the heart attack, and the course of recovery. A person with a mild heart attack who recovers fairly quickly can get an OK from a doctor after 2 weeks, while someone with a massive heart attack and a multitude of other heart problems might need to wait for 6 months or more.
According to Dr. Howard E. LeWine, you can generally start sexual activity when you can endure 10-20 minutes of walking or climbing a flight or two of stairs without gasping for air, chest pains, fatigue, dizziness or other issues.
In general, it’s crucial to follow the advice of healthcare professionals and consider factors such as the recovery period, medications prescribed, and their potential side effects. Before resuming sexual activity, it’s important to undergo a medical evaluation to assess cardiovascular health, overall fitness, and any potential risks.
Here are 5 things to consider before getting intimate again after a heart attack:
Redefine what sex means
Sex isn’t just physical. It can be an emotional pleasure, intellectually stimulating, and pleasing to the senses. Communicate openly with your partner about any desires, concerns, anxieties, or physical limitations you may have, fostering emotional support. Focus on emotional intimacy, closeness, and affectionate gestures without necessarily engaging in vigorous physical activity. Experiencing intimate moments together, whether sexual or not, is a powerful way to connect, which is the foundation of any sexual relationship.
Ease into encounters
It’s important to take your time getting into the moment. Sexual activity is a form of physical exertion, and after a heart attack, it’s important to gradually reintroduce physical activity to avoid overexertion. Begin with less physically demanding positions and activities like a sensual or therapeutic massage, kissing, hugging, and other forms of non-strenuous physical contact. Enjoy shared sensual experiences that are less physically demanding, such as taking a bath together or spending time in a comfortable and relaxed environment.
Do what works for you
You might not be able to do some things so don’t be afraid to try variations. Consider gentle and slow movements that do not involve vigorous exertion. Experiment with positions that are comfortable and not physically demanding, for example, those that involve the use of pillows or other supports to enhance comfort and minimize physical strain. Consider shorter durations initially and gradually increase the intensity and duration as your comfort level and physical response allow.
Relax
Relaxation can boost confidence and comfort. Practice mindfulness during intimate moments, focusing on the present and the emotional connection with your partner.
Listen to your body and know when to stop
If you have unstable angina, worsening heart failure, uncontrolled arrhythmias, or significantly symptomatic or severe cardiovascular disease, you should not engage in sexual activity until your condition is stable and optimally managed. If you experience cardiovascular symptoms during sexual activity, stop. See your doctor, and do not resume sexual activity until your condition is stable. See here for a summary of the American Heart Association’s recommendations on resuming sex after a heart attack.
