Does Sex Lower Blood Pressure? A Leading Cardiologist Responds

Sex tends to be good for relationships, but it also boasts many health benefits: Enhanced immunity, improved sleep, better mental health and, yes, better heart health. A vibrant sex life and a healthy heart often go hand in hand, which is why doctors recommend not only a heart-healthy diet for longevity but also for maintaining stamina in the bedroom.

Scientific research has established a link between sexual activity and blood pressure. The American Heart Association (AHA) explains that prolonged high blood pressure can damage blood vessels, reducing their ability to circulate blood efficiently. This decreased blood flow can affect various parts of the body, including the pelvic region, potentially impacting sexual function for both men and women.

Given this link, it’s reasonable to ask whether an active sex life could not only enhance overall health but also serve as a natural way to combat hypertension by lowering blood pressure. Continue reading to discover what medical experts say and to learn precautions for engaging in sexual activity with high blood pressure.

Is sex good for the heart?

Yes, the heart benefits from regular physical activity, and sex is no exception. Considered a moderate form of exercise, sex not only increases the heart rate but also improves blood flow.

Michael Blaha, MD, MPH, director of clinical research at the Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, points out intriguing findings. Research has shown that men who engage in sexual activity at least twice a week and women who report satisfying sex lives are at a reduced risk of experiencing heart attacks. Intimacy also deepens emotional bonds in relationships, and this can help alleviate feelings of loneliness, depression, and anxiety—factors that are known to contribute to an increased risk of heart disease.

Does sex improve blood pressure?

Yes, sex does help lower blood pressure. While the effects aren’t permanent, it’s still a beneficial way to gain some advantages from sexual intercourse, explains Jessica Shepherd, MD, MBA, FACOG, a board-certified OB/GYN, and fellowship-trained Minimally Invasive Surgeon and women’s health expert.

This decrease in blood pressure can be attributed to the release of endorphins during sexual activity, which helps relax the blood vessels. “Endorphins are helpful as natural stress relievers and can cause a temporary decrease in blood pressure,” Dr. Shepherd states. She adds, “There is also oxytocin, a very important hormone released [during sex] that is known to decrease cortisol.” So, sex can serve as one of the ways to reduce cortisol and thereby also help lower blood pressure.

Menopause can make women more vulnerable to high blood pressure and affect their sexual experiences. However, there is encouraging news: Dr. Shepherd highlights a study showing that regular sexual activity helps lower blood pressure, particularly in women. The study found that women between the ages of 57 and 85 who engaged in regular sex were less likely to suffer from hypertension.

Given that blood pressure and sex are influenced by many factors, it remains essential for both men and women to consult with their healthcare provider to explore how this fits into their overall health strategy and to determine what other approaches may be necessary to manage blood pressure effectively.

Is it safe to have sex if you have high blood pressure?

The AHA shares that cardiovascular events—such as heart attacks or chest pain from heart disease (angina)—are rare during sexual activity, largely because such activity is typically brief. However, if high blood pressure is uncontrolled or associated with other significant heart health issues, it can pose risks. Here are some key considerations:

• Stable condition: If your blood pressure is well-controlled through medication or lifestyle changes, sexual activity is usually safe. Maintaining regular check-ups is important to ensure your condition remains stable.
• Monitor symptoms: Be aware of any symptoms that might suggest your heart condition could be worsening, such as shortness of breath, chest pain, or excessive fatigue. If you experience any of these symptoms during sexual activity, you should stop and consult your doctor.
• Consult with your doctor: It’s a good idea to talk with your healthcare provider about your overall cardiovascular health and how it might impact your sex life. Your doctor can provide specific recommendations based on your personal health profile.
• Medication side effects: Be aware of the side effects of any blood pressure medications, as some can affect sexual function. If you experience side effects that impact your quality of life, including your sex life, discuss these with your doctor. Adjustments to your treatment plan may be possible.
• Physical exertion and safety: Sexual activity can be compared to moderate physical exertion, like brisk walking or climbing two flights of stairs. If you can perform such activities without chest pain or undue breathlessness, you’re likely able to engage in sexual activity safely.

Dr. Blaha concludes: “Is there a chance of having a heart attack during sex? Yes. Your risk is slightly elevated whenever you’re physically active, whether it’s sexual activity or going for a run or any other type of aerobic exercise, compared to when you’re resting. But for people with a stable heart, the long-term benefits of regular physical activity—including sex—far outweigh the risks.”

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