
Do not panic: Fast breathing, sweating and palpitation are normal signs of arousal.
Things to avoid: Refrain from intercourse for two hours after a heavy meal. While two small drinks prior to the activity are permissible, excess of alcohol should be avoided. Severe palpitation persisting beyond a few minutes of orgasm or its recurrence may be alarming. If sexual intercourse precipitates severe angina or breathlessness more than once, or when even modest physical exertion precipitates irregular heartbeats, it is desirable to resume sexual intercourse after optimisation of medical therapy. Contraceptive pills are off limits forever as they lead to blood clotting. Be careful during pregnancy after heart valve replacement.©