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Abstract
It is known that there is a link between cardiovascular disease and sexual dysfunction but there are very few prospective research or controlled trials on the subject. The dysfunction associated with cardiac disease is mainly organic in origin. A myocardial infarct causes distress to both patient and partner and can lead to further dysfunction that is mainly psychological in origin. This gradually improves over a year but is a cause of great apprehension. Patients and partners desire counselling but it is not often forthcoming. There is no consensus on the best form, or any proof of its effectiveness. Angina also causes great distress and can lead to sexual dysfunction but drug treatment of the angina can lead to an improved sex life. Other drugs used to treat cardiovascular disease can lead to sexual dysfunction. Recommendations are made for counselling after an infarct.