Cardiac health professionals rarely raise the issue of the sex lives of their patients who have survived a heart attack. Statistics show that this should be done more often, as it is very common for survivors to consciously avoid sexual contact for years at a time. This is almost never necessary, but the inconvenience of such a conversation with the doctor makes them prefer advice from a friend or from the Internet, which is not always a good idea. Recently, the European Society of Cardiology has published on its website guidance and advice on the subject: how and when to resume sexual life, which positions are best and safest for practitioners and which pose a risk to their heart health, etc. It is the first science-based guide of its kind, based on medical facts and professional recommendations, approved by the world’s leading specialists. Sexual health is an important part of an individual’s normal quality of life, even in older patients. However, many suffer a heart attack or stroke before the age of 40, which can deprive them of this important element. The biggest fears of these people are related to the question “Am I not putting myself in a risky position for another heart attack with the sexual act itself?”. It all depends on the general health of the individual. If even slight pains and heaviness in the chest area are present, it is still too early and sex should be postponed until the condition stabilizes. NEWS_MORE_BOX The health organization’s statement gives the following guidance: Before taking up sexual activity, make sure you can handle moderate-intensity physical activity: can you quickly climb the stairs between two floors without getting out of breath or getting chest pains? If you can – you have the green light. You should tell your doctor about any symptom you experience during sex: chest pain, dizziness, vertigo, cold sweat. Posture also matters, with supine or semi-recumbent positions with minimal strain recommended.