Your ability to have a fulfilling sex life depends on a complex arrangement of multiple factors. The World Health Organization (WHO) defines sexual health as the state of one's physical, emotional, mental and social well-being related to sexuality. All of these aspects can fluctuate, and each is important. 

For better or worse, if you have a physiological condition, it will likely impact your sex life. 

Heart disease and sex

It's not uncommon for individuals with heart disease to have fear or anxiety about having sex. These feelings typically stem from the fear that having sex could trigger a heart attack. And while it's true sexual activity causes the heart rate to increase, people with stable heart conditions are usually able to have sex without any problems, according to the Mayo Clinic.

A good rule of thumb is if you're able to climb stairs or walk a mile without difficulty, you can safely have sex. Of course, if you're still concerned, you can always consult your doctor to be sure