Dr. Virginia Loewenstine, CEO and medical director of Tristate Preventive Health, answers your questions
Q: When is it safe to have sex after a heart attack?
A: Sooner than you think! Sexual activity is considered a physical activity, so most physicians will recommend resuming regular sexual activity once the person can engage in mild to moderate physical activity without issues. The ability to walk briskly for 20-30 minutes or the ability to climb one to two flights of stairs would give a green light. This timeframe tends to be about two weeks after the heart attack.
Because a heart attack is different from person to person, several factors do need to be taken into consideration. These include the severity of the heart attack, the recovery process, and any underlying conditions. Have an honest conversation with your doctor. Medications prescribed after the heart attack may affect sexual dysfunction (e.g., blood thinners and beta blockers).
Medications for erectile dysfunction should NEVER be taken after a heart attack without first consulting your doctor. These, in combination with nitrates, such as nitroglycerin or isosorbide dinitrate, can have grave affects.
Finally, let’s not forget about the psychological and emotional factors that go with resuming sexual activity after a heart attack. Both partners, and more often the partner who did not suffer the heart attack, may feel anxious or concerned that another heart attack will happen or even that the person may die during sex. These concerns should be discussed with your doctor or a counselor to help ease fear.
Having another heart attack or dying during sexual activity, when your doctor has given you the go-ahead, are rare. However, the worry and concerns are common. Ease into resuming sexual activities and have open communication with your partner. Of course, a strong relationship will make this all easier.
