Ask your health care provider when you can have sex again. In most cases, you can begin about 6 weeks after returning home. When you're able to climb two flights of stairs or take a vigorous walk without angina, shortness of breath, or irregular heart rate, you're probably ready.

• Know that your risk of having another heart attack during sex is very low. Talk with your health care provider about your personal risk and risk factors.
• It may take a while before you want to have sex again. Your interest should return as your body heals.
• When you're ready for sex, choose a time when you feel relaxed and rested.
• Take your time. Give yourself a chance to become aroused.
• If your provider has prescribed nitroglycerine to be taken before sex, be sure to take it as directed.
• Some medicines that help with sexual performance or erectile dysfunction can be dangerous when combined with heart medicines. Talk with your provider before using such medicines.
• Remember that sex is more than intercourse. Show affection with hugs, caresses, and kisses.
• Some heart medicines can affect sexual arousal. If you have problems, talk with your provider.
• Let your partner know your concerns. Feeling supported can make the move back into a sexual relationship much easier.
• Ask your provider about sex counseling for you and your partner. Counseling can be focused on your personal needs and concerns. It can help ease anxiety.