Sex is a part of living. For the majority, it is one of the most enjoyable, satisfying, stress-relieving activities that life provides. Most of what is said regarding heart attacks and sexual activity relates to men, because the heart attack rate is far more common in men than women at age 35–65. Also, men have far more hang-ups about sex than women, especially because a man cannot will an erection. Fear interferes with performance; thus some men, due to a lack of proper discussion with their doctor before hospital discharge, develop fears that may cause problems with sexual function. In addition, the female partner develops fear and apprehension that intercourse could cause the death of her husband. The female partner may therefore turn the whole thing off. This disturbance in a marital relationship can be quite traumatic and increase the anxiety and depression that is so common after a heart attack.
It is important for males to understand that a heart attack does not cause impotence, and that if you do not have intercourse for six weeks, it will not alter sexual performance in the future. The good news is that 12 weeks after a heart attack, more than 75% of patients are able to engage in sexual intercourse with the same frequency as before. A heart attack is not the end of your sex life. Some physicians believe that sex can be resumed about two weeks after discharge from the hospital, but the majority of physicians agree that it is reasonable and safe to resume intercourse about six weeks after a heart attack. There is no hard and fast rule; you should do what comes naturally and without fear. If, about four weeks after discharge, you are able to walk one mile and climb two flights of stairs without chest discomfort or undue shortness of breath and experience the urge to have sex with your usual partner, then you should go ahead without fear of precipitating another heart attack.

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