Sex and heart failure: is it safe?

Cardiac Nurse, Chloe Macarthur says:

People with heart failure sometimes worry about whether they will still be able to do things they enjoy, including sex. It’s normal to have these concerns. Generally people with heart conditions, including heart failure, can continue to enjoy a satisfying sex life.

Sex is a physical activity and is no more likely to trigger a symptom than any other similar level of exertion. Your doctor will be able to confirm if you are able to safely have sex (don’t be afraid to ask them – they have heard it all before).

Generally, if you are feeling well and able to climb two flights of stairs comfortably, or do some light gardening, then sex is likely to be fine.

If you are anxious about having sex, talk to your partner so that you can find something that works for you both. This might be finding other ways to be intimate that don’t involve full intercourse, or exploring different positions that you may find easier. You could also change the time of day you have sex, to when you have more energy.

• Get more information on how to reduce your anxiety about having sex when you have a heart condition

If you do start to experience symptoms, stop what you’re doing and rest, just as you would with any other physical activity.

Some people find that heart failure reduces their sex drive, or causes sexual problems. Most people take heart medications without problems, but in some cases your medication may affect your desire for or ability to have sex.

Don’t feel embarrassed to talk to your GP or nurse. They will be understanding and can offer you advice and support. If you are thinking about using medications such as sildenafil (Viagra), speak to your doctor first as this can cause problems if you’re already taking medication that can affect your blood pressure.

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