AbstractSexual activity does not always correlate with the severity of myocardial damage or the extent of any complications. The general objective of management is to restore sexual activities to approximately pre‐infarct levels and, generally, it is better to introduce sexual activities sooner rather than later. Special investigations may be necessary to determine whether the penile arteries are involved in generalized arteriosclerosis, which may contribute to sexual problems. The pelvic steal test is simple and improves the diagnostic value of a penile blood pressure measurement. Counselling procedures are the mainstay of treatment, but cardiovascular drugs, antidepressants and anxiolytic drugs may all have a part to play. A crucial influence is the attitude of the sexual partner. Reassurance concerning future re‐infarction is of paramount importa