By Rachael Rettner, Senior Writer

Published: 07/24/2013 04:10 PM EDT on LiveScience


Many women who've had heart attacks want more information about how to safely resume sex afterward, a new study suggests.


Researchers conducted detailed interviews with female heart attack patients [1] and found that many held fears about engaging in sex after a heart attack, and wondered whether their hearts could handle the exertion.


Some said their partners were concerned that sex would trigger another heart attack. "I had to convince my husband that I wasn’t going to die in bed," one woman was quoted as saying.


Despite these fears, most women said they started having sex again about four weeks after their heart attack. Often, women said they engaged in sex because they wanted to return to a "normal" life.


"You don’t always want to be the lady that had the heart attack," one woman in the study said.


However, most women said their doctor did not give them any advice about resuming sex after their heart attack. Those who did speak with their doctors reported that they initiated the conversation themselves, and that the doctor did not provide a very satisfactory answer.



"Cardiologists, in the very immediate, are trying to save lives," said study researcher Emily Abramsohn, a public health researcher at the University of Chicago. "What they're concerned about is patients' hearts," Abramsohn said. But the study shows "women want to be treated as a whole person."


Cardiologists can ease concerns by speaking openly with patients about sex after a heart attack[2] , Abramsohn said. Women who have these concerns should know that they are not alone in feeling this way, and "it's OK to ask," for more information from your doctor, Abramsohn said.


Although nearly three-quarters of men, and close to half of women reported being sexually active before their heart attack, only about 47 percent of men and 35 percent of women say that they received counseling about when they could resume sex, according to prior research.


Some doctors may not think to discuss sex with older patients — the average age of women in the study was 60 — but studies show that older men and women value their sexual life, Abramsohn said.


The American Heart Association says that sex is probably safe[3] for patients after a heart attack as long as they are in stable condition, and have no complications. Those who are unstable or who have severe symptoms should be treated and stabilized before having sex. Heart attacks rarely occur during sex because sexual activity is usually relatively short in duration, AHA says.


Patients who receive nitrate therapy for chest pain due to coronary artery disease[4] should not use erectile dysfunction drugs, the AHA says.


The study was small, and it's possible that those who agreed to take part had views that were not reflective of the majority of women (for instance, they were especially concerned about sex after their heart attack).


The study is published today (July 24) in the Journal of the American Heart Association.


Follow Rachael Rettner @RachaelRettner [5] . Follow LiveScience @livescience [6] , Facebook [7] & Google+ [8] . Original article on LiveScience.com[9] .



Copyright 2013 LiveScience, a TechMediaNetwork company. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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  • Rosie O'Donnell


    Last August, the former talk show host <a href="http://abcnews.go.com/blogs/entertainment/2012/10/rosie-odonnell-heart-attack-was-wake-up-call/" target="_hplink">felt chest pains</a> and, after some online research, began to suspect that she was having a heart attack. But she didn't dial 911, according to ABC News. The next day a cardiologist informed her that her <a href="http://watchlearnlive.heart.org/CVML_Player.php?moduleSelect=corart" target="_hplink">coronary artery</a> was 99 percent blocked and <a href="http://www.heart.org/idc/groups/heart-public/@wcm/@hcm/documents/downloadable/ucm_300452.pdf" target="_hplink">put in a stent</a> to keep the blood flowing. O'Donnell wasted no time making healthy lifestyle changes. "<a href="http://www.people.com/people/article/0,,20635664,00.html" target="_hplink">I almost died</a>. It took a heart attack for me to learn to take care of myself," she told People magazine.




  • Star Jones


    The talk show host <a href="http://www.huffingtonpost.com/star-jones/star-jones-heart-disease_b_2566501.html" target="_hplink">underwent heart surgery</a> for a <a href="http://www.nlm.nih.gov/medlineplus/ency/article/007408.htm" target="_hplink">problem with the aortic valve</a> after experiencing extreme fatigue and heart palpitations while on vacation in 2010. Ultimately the valve was replaced a week before her 48th birthday. "You think it's an old white guy's disease, well, it really isn't," <a href="http://www.doctoroz.com/videos/heart-health-star-jones-advice" target="_hplink">Jones explains on Dr. Oz's website</a>. "Eighty two million Americans suffer from some form of heart disease, and I have to tell you, the scariest thing in the world is hearing you are one of those 82 million." Jones served as the National Volunteer for the American Heart Association (AHA) and continues to support the AHA's <a href="http://www.goredforwomen.org/" target="_hplink">Go Red for Women</a> campaign.




  • Barbara Walters


    The legendary TV personality underwent a procedure called <a href="http://abcnews.go.com/Health/HeartDisease/barbara-walters-prepares-aortic-valve-replacement-heart-surgery/story?id=10609251#.TzA6z-PLyK4" target="_hplink">aortic valve replacement</a> to correct a faulty heart valve in 2010.

    Generally <a href="http://www.huffingtonpost.com/2011/02/02/barbara-walters-heart-special-drugs_n_817330.html" target="_hplink">a private person</a>, Walters opened up about her experience -- and interviewed other famous heart surgery survivors like Bill Clinton and Robin Williams -- in a 2011 ABC special called "A Matter Of Life And Death."

    "I want to take you on a journey, my own," Walters wrote in a <a href="http://abcnews.go.com/Health/barbara-walters-heart-special-matter-life-death/story?id=12810130#.TzA8m-PLzwe" target="_hplink">promotion for the special</a>, "and share with you how being wheeled into operating room No. 22 at New York-Presbyterian Hospital in May to replace my faulty heart valve saved my life."




  • Bill Clinton


    The former president was treated for chest pain in February of 2011, when doctors placed two stents in a coronary artery. Experts say the procedure is <a href="http://www.time.com/time/health/article/0,8599,1963893,00.html" target="_hplink">common in people who have had bypass surgeries</a>, according to <em>TIME</em>. Clinton had a quadruple bypass in 2004, and a second operation in 2005 in response to complications from the bypass.

    Today, Clinton has become <a href="http://www.cnn.com/2011/HEALTH/08/18/bill.clinton.diet.vegan/index.html" target="_hplink">almost-vegan</a> (he reportedly snuck a bite of <a href="http://well.blogs.nytimes.com/2011/08/18/bill-clintons-vegan-journey/" target="_hplink">turkey at Thanksgiving</a>) foregoing meat, eggs and dairy in favor of fruits, veggies and beans, according to CNN. "I was lucky I did not die of a heart attack," he told CNN's Sanjay Gupta.




  • Larry King


    The talk-show host had a heart attack in February 1987, and later underwent <a href="http://www.everydayhealth.com/heart-health/larry-king-dances-his-way-to-heart-health.aspx" target="_hplink">quintuple bypass surgery</a> at just 53 years old.

    The heart attack and consequent procedure were a wake-up call, King said on a PBS panel called <a href="http://www.pbs.org/wgbh/takeonestep/heart/video-larry_king_01.html" target="_hplink">"Take One Step for a Healthy Heart."</a> "When you go into a hospital and they tell you they're going to cut your chest open, you really think about all the dumb things you've done in your life and you have to change," he said.

    In 1988, the <a href="http://www.larrykingcardiacfoundation.org/index.php/about-us" target="_hplink">Larry King Cardiac Foundation</a> (LKCF) was established to help fund heart treatment for patients without the means or insurance to cover such medical care themselves.




  • Dick Cheney


    After <a href="http://articles.latimes.com/2011/jan/18/news/la-pn-cheney-20110119" target="_hplink">five heart attacks</a>, former Vice President Dick Cheney received a life-saving <a href="http://www.nytimes.com/2011/01/05/us/politics/05cheney.html" target="_hplink">mechanical heart pump</a> in January of 2011.

    "It's brought me back from <a href="http://www.usatoday.com/news/washington/story/2011-08-31/Taciturn-Cheney-cant-stop-talking-about-heart-device/50196688/1" target="_hplink">end-stage heart failure</a>," Cheney told "USA Today". "I was in bad shape 14 months ago. Now I'm back to leading a relatively normal life. I fish, hunt a little bit, write books, [am] able to travel."




  • David Letterman


    The late-night host's father died of a heart attack at 57, and in January 2000, at just 52, Letterman underwent emergency quintuple bypass surgery, performed by the <a href="http://transcripts.cnn.com/TRANSCRIPTS/0001/14/lkl.00.html" target="_hplink">same surgeon who operated on Larry King</a>, 13 years earlier.

    He invited <a href="http://www.people.com/people/article/0,,20336885,00.html" target="_hplink">his medical team</a> to appear upon his return to TV in February, and said, emotionally: "If you ever have to have this surgery, by God, I hope you're blessed enough to go through it with people like these," according to People.com.




  • Toni Braxton


    While starring in the Broadway show "Aida," the Grammy winner passed out after feeling tired and lightheaded, with tightness in her chest. In the emergency room she learned she had <a href="http://www.webmd.com/heart-disease/features/unbreak-her-heart-toni-braxton" target="_hplink">pericarditis</a>, inflammation of tissue surrounding the heart often caused by a virus, according to WebMD.

    Today, the R&B singer takes medication for her <a href="http://www.thedailybeast.com/newsweek/2008/01/21/toni-braxton-heart-disease.html" target="_hplink">high blood pressure</a>, walks on a treadmill and eats salads and soups instead of her favorite salty foods, like burgers with bacon, she told The Daily Beast.




  • Robin Williams


    The comedian was forced to postpone his stand-up tour after experiencing shortness of breath. Doctors found he needed an aortic valve replacement, a procedure that was performed <a href="http://articles.cnn.com/2009-03-23/entertainment/robin.williams.health_1_normal-heart-function-cardiothoracic-surgeon-cleveland-clinic?_s=PM:SHOWBIZ" target="_hplink">successfully at the Cleveland Clinic</a> in Ohio in March 2009.

    Never one to miss an opportunity for a joke, Williams appeared on Barbara Walters' 2011 special, calling himself and her other guests the <a href="http://abcnews.go.com/Health/barbara-walters-heart-special-matter-life-death/story?id=12810130#.TzA_pOPLzwc" target="_hplink">"Brotherhood of the Cracked Chest Club."</a>

    "You literally are opened up, and you really do <a href="http://www.people.com/people/article/0,,20295149,00.html" target="_hplink">appreciate the simplest things</a> like breath, and friends," he said at the Television Critics' Association panel in Pasadena, California in July 2009, according to People.com. "I've been calling up all of my friends and saying, 'Thanks for being there.'"




  • Regis Philbin


    The TV host said there was <a href="http://www.reuters.com/article/2007/03/17/people-regis-dc-idUSN1547028620070317" target="_hplink">plaque in some of his arteries</a> that needed to be cleared out on "Live with Regis and Kelly" in March of 2007. He underwent successful <a href="http://www.people.com/people/article/0,,20015027,00.html" target="_hplink">triple bypass surgery</a> later that month at 75. Philbin had a <a href="http://articles.cnn.com/2011-01-18/entertainment/regis.philbin.retiring_1_regis-kathie-lee-daytime-emmys-outstanding-talk-show-host?_s=PM:SHOWBIZ" target="_hplink">hip replacement</a> in 2009 before retiring in 2011 at age 79.




  • Miley Cyrus


    In her 2009 autobiography <a href="http://www.amazon.com/Miles-Go-Miley-Cyrus/dp/1423119924" target="_hplink">"Miles To Go,"</a> the starlet disclosed that she has <a href="http://www.foxnews.com/entertainment/2009/03/10/miley-cyrus-discloses-heart-condition-new-book/" target="_hplink">tachycardia</a>, a heart condition that causes her heart to beat faster than normal.

    "The type of tachycardia I have <a href="http://articles.nydailynews.com/2009-03-10/gossip/17917786_1_miley-cyrus-hannah-montana-heart-rate" target="_hplink">isn't dangerous</a>. It won't hurt me, but it does bother me. There is never a time onstage when I'm not thinking about my heart," she wrote.




  • Shaun White


    The snowboarder was born with <a href="http://www.nhlbi.nih.gov/health/health-topics/topics/tof/" target="_hplink">tetralogy of Fallot</a>, a congenital heart defect that affects the way blood flows through the heart, according to the National Heart Lung and Blood Institute.

    White had <a href="http://sportsillustrated.cnn.com/features/siadventure/29/boarding/" target="_hplink">two open-heart surgeries</a> before he was a year old, according to <em>Sports Illustrated</em>, and regularly checks in with a heart doc.


    <em>Flickr photo by <a href="http://www.flickr.com/photos/anhonorablegerman/6023295703/" target="_hplink">Charles McCain</a></em>




  • Burt Reynolds


    The actor recovered from a planned <a href="http://www.huffingtonpost.com/2010/03/03/burt-reynolds-heart-surge_n_484025.html" target="_hplink">quintuple bypass surgery</a> in 2010 at home, with <a href="http://www.people.com/people/article/0,,20348233,00.html" target="_hplink">round-the-clock nursing care</a>, according to People.com.

    "He wants to thank everyone for their good wishes and states that he has a great motor with brand new pipes and he is feeling great," a rep said in a statement.




  • Bret Michaels


    After Michaels suffered a mini-stroke in 2010, doctors found <a href="http://www.people.com/people/article/0,,20460416,00.html" target="_hplink">a hole in his heart</a>, which was successfully repaired in 2011.

    "I am pumped to get <a href="http://www.people.com/people/article/0,,20466958,00.html" target="_hplink">back on the road</a> and start rocking out on stage for all my awesome fans," Michaels told People.com a month later.




  • Jennie Garth


    The actress, who lost her father to heart disease, has what's commonly called a leaky valve, which gives her the feeling that her<a href="http://www.everydayhealth.com/heart-health/jennie-garth.aspx" target="_hplink"> heart is fluttering</a>, she told Everyday Health.

    While the fluttering doesn't impact her greatly now, <a href="http://today.msnbc.msn.com/id/30950377/ns/today-entertainment/t/jennie-garth-reveals-heart-condition/#.TzBHtePLzwd" target="_hplink">complications may arise</a> as she gets older, she told Access Hollywood.




  • Kelsey Grammer


    After paddle boarding near his Hawaiian home in 2008, the actor was taken to a local hospital, where doctors concluded he had had a <a href="http://abcnews.go.com/Entertainment/HeartDiseaseNews/story?id=4982043&page=1#.TzBLVOPLyK4" target="_hplink">minor heart attack</a>, according to ABC News.




  • Charlie Rose


    In 2002, the talk-show host opted for <a href="http://www.cbsnews.com/stories/2002/08/22/earlyshow/health/main519528.shtml" target="_hplink">open-heart surgery</a> to correct a life-long valve problem, according to CBS, performed by the same surgeon who operated on David Letterman and Larry King.

    A few years later, after experiencing shortness of breath in Syria, Rose had emergency <a href="http://www.usatoday.com/life/people/2006-03-29-charlie-rose-heart-surgery_x.htm" target="_hplink">mitral valve surgery</a> to correct narrowing of the valve in Paris in 2006, according to the AP.




  • Elizabeth Taylor


    The famed actress was diagnosed with <a href="http://www.webmd.com/heart-disease/heart-failure/news/20110323/actress-elizabeth-taylor-dies-at-79" target="_hplink">congestive heart failure</a> in 2004. She died of the condition, which limits the heart's ability to pump blood around the body, in 2011.

    While five million Americans are <a href="http://healthland.time.com/2011/03/23/are-you-at-risk-for-congestive-heart-failure/" target="_hplink">living with congestive heart failure</a>, as many as 20 percent die within one year of diagnosis and 50 percent die within five years, according to <em>TIME</em>'s Healthland.




  • Alex Trebek


    The longtime "Jeopardy" host suffered a <a href="http://www.huffingtonpost.com/huff-wires/20071211/alex-trebek/" target="_hplink">minor heart attack</a> in 2007 at age 67, according to the AP.




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