Thousands of heart patients and stroke survivors have learned that having heart disease, a stroke or surgery doesn't mean a satisfying sex life must end. After the first phase of recovery is over, patients find that the same forms of lovemaking that they enjoyed before are still rewarding.

Many myths surround sex after heart disease and stroke. The most common one is that resuming sex often causes a heart attack, stroke or sudden death. This just isn't true. There's no reason why heart patients or stroke survivors can't resume usual sexual activity as soon as they feel ready for it. Talk with your doctor if you have any concerns.

Fears about performance and general depression can greatly reduce sexual interest and capacity. After recovery, heart patients and stroke survivors may feel depressed. This depression is normal, and in 85 percent of the cases it goes away within three months. It does tend to magnify any prior sexual problems between partners.

You and your mate or partner can prepare for sex in several ways. First, you can maintain and improve your physical conditions and personal hygiene. Second, you can be more tolerant of your emotions. Temporary mood swings are common.

What are some general guidelines for couples resuming sex?

• Choose a time when you're rested, relaxed and free from the stress brought on by the day's activities.
• Wait one to three hours after eating a full meal to allow time for digestion.
• Select a familiar, peaceful setting that's free from interruptions.
• If prescribed by your doctor, take medicine before sexual relations.

What are some guidelines for stroke survivors resuming sex?

• Be aware that your feelings about your body may have changed since your stroke.
• Try using pillows to help support your affected side during lovemaking.

Related AHA and ASA publications:

• Sex and Heart Disease 
• Sex After Stroke: Our Guide to Intimacy After Stroke