Discuss your sexual fears, if any, with your spouse.

Choose a time when you are relaxed and rested. Wait 2-3 hours after a meal. The first thing in the morning when you are rested may be a good time.

As you resume sexual activity, you may want to start with less stressful forms of sex. Foreplay and mutual stimulation may be more important than achieving orgasm in the early stages of your recovery. The emphasis should be on the pleasure you can give each other rather than performance.

Don't take a hot or cold water bath immediately before or after sex. Change positions: be the passive partner, let your spouse play the dominant role.

If you get any chest discomfort during sex, take nitroglycerine before sexual activity.

Stick to the 'tried and tested' routine: a familiar routine in a familiar location with a familiar partner. Don't take extra risks by trying anything daring. Let your doctor know if you have chest discomfort, dizziness, shortness of breath, irregular heart rate, etc. after sex, or if you feel extreme fatigue the next day.

Don't worry unduly about having a heart attack during sex. Such heart attacks are very rare and most often occur as a result of extra-marital sex (which is more strainful to the heart due to the additional strain and guilt). If you have the need for sildenafil (Viagra) do consult your doctor. Sildenafil can cause a fall of blood pressure, especially if you are on nitrates for your heart.


Cardio & Blood