Effects of Exercise on Sexual Function

Physiological Effects of Exercise on Sexual Function

Regular exercise improves cardiovascular health, which is essential for adequate blood flow to genital tissues, according to the European Society of Cardiology and the American Urological Association 1, 2
Sexual activity itself is comparable to moderate-intensity exercise, requiring 2-3 METs during pre-orgasmic stage and 3-4 METs during orgasmic stage, equivalent to walking at 3-4 miles per hour or climbing 2 flights of stairs, as stated by the European Society of Cardiology 1

Energy balance is crucial, as excessive exercise with inadequate energy intake can lead to hormonal suppression (hypogonadism) in both men and women, according to the International Olympic Committee and the American College of Sports Medicine 3
For individuals with cardiovascular disease, sexual activity should only be resumed when capable of expending 3-5 METs without symptoms, as recommended by the European Society of Cardiology 1
Exercise training can reduce the hemodynamic stress of sexual activity in cardiac patients, according to the American Heart Association 4
Consider exercise stress testing to determine safe activity levels, as suggested by the American Urological Association 5

For individuals with cardiovascular concerns, gradually increase exercise capacity to at least 3-5 METs before resuming sexual activity, as recommended by the European Society of Cardiology 1
Report any symptoms experienced during sexual activity (chest pain, shortness of breath, etc.), as advised by the European Society of Cardiology 1