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Heart Failure Health Center

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Heart Failure and Sexual Activity - Topic Overview

Sex is part of a healthy life and is part of your quality of life. Most people with heart failure can still have an active sex life. If you have mild heart failure, your doctor will likely say that sex is safe for your heart. If you have more severe heart failure, your doctor will likely check your health to make sure sex is safe for you.1

If you or your partner is worried about having sex, talk with your doctor about your concerns. Your doctor or another health professional can give you support and advice.

Recommended Related to Heart Failure

Living With Advanced Heart Failure

There’s no cure for congestive heart failure -- not yet anyway. But if you or a loved one is among the 5.8 million Americans living with heart failure, even if it’s advanced, you should know that simple self-care measures can effectively help curb fatigue, shortness of breath, swelling, and other symptoms. In addition to improving their quality of life, heart failure patients who practice good self-care are less likely to wind up in the hospital. “Heart failure is a progressive disease, but the...

Read the Living With Advanced Heart Failure article > >

How to make sex easier on your heart

Sex is like any activity that makes your heart work harder. So you can try things that make sex easier on your heart.

  • Be well rested before having sex.
  • Avoid sexual activity when:
    • It's very hot or humid outside.
    • You're under stress.
    • You've just had a meal.
  • Don't drink alcohol for at least 3 hours before sex.
  • Stop and rest if you have trouble breathing.
  • Stop if you feel lightheaded or have chest pain or pressure, palpitations, or a fast heartbeat.
  • Try other ways to be intimate that don't make your heart work so hard. These include hugging, cuddling, and kissing.

How to be safe

Tell your doctor if you're having symptoms, such as trouble breathing, when you have sex.

Talk with your doctor before trying an erection-enhancing medicine. If you take a nitrate medicine, do not take a medicine such as sildenafil (Viagra), tadalafil (Cialis), or vardenafil (Levitra). Combining these medicines can cause a life-threatening drop in blood pressure.

Get help for problems

Unfortunately, many people with heart failure also have sexual problems. Your interest may drop, or you may have shortness of breath or other symptoms that limit your ability to have sex. Men may have erection problems. Women may have sexual problems too.

Talk with your doctor. Counseling with a health professional can help you resume sexual activity.

You can get help for erection problems or other sexual troubles.

WebMD Medical Reference from Healthwise

Last Updated: August 13, 2014
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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