Getting back in the saddle after a heart attack can be a daunting task — but it doesn’t always have to be. In the video above, we share five things to consider before getting intimate.

And to make sure you’re cleared for sexual activity, consult your doctor. If you have unstable angina, worsening heart failure, uncontrolled arrhythmias, or significantly symptomatic or severe cardiovascular disease, you should not engage in sexual activity until your condition is stable and optimally managed.

If you experience cardiovascular symptoms during sexual activity, stop. See your doctor, and do not resume sexual activity until your condition is stable. See here for a summary of the American Heart Association’s recommendations on resuming sex after a heart attack.