Is it possible to be sexually active after severe cardiovascular disease? The European and American Heart Association guidelines recommend that patients consult their physicians about whether they can resume sexual activity after an acute myocardial infarction. However, the reality is that there is no research data to support this, so it is difficult for doctors to give practical medical advice. For this reason, the multicenter prospective study VariationinRecovery:RoleofGendonOutcomesof Young AMI Patients (VIRGO), which involved 127 U.S. and Spanish hospitals, explored the issue of sexual life after heart attack in young patients and published its results online on December 15, 2014, in the journal Circulation. It collected data at baseline and at 1 month from a total of 2,349 female and 1,152 male young acute heart attack patients aged 18 to 55 years with a mean age of 48 years to explore the issue of sexuality in young heart attack patients. Of the patients who were sexually active before the infarction, 54% of the men and 63% of the women were continuing to pursue sexual bliss at 1 month post-infarction. Interestingly, 9% of the patients who had stopped having sex before the infarction resumed sexual pursuit at 1 month after the infarction. Compared with the year before the infarction, there was a decrease in the frequency of sexual intercourse in the following month and a decrease in the number of sexually active patients. Of all patients, only 12% of women and 19% of men consulted their physicians about the content of their sexual life during the 1-month period after the onset of the attack. Of those consulted, 68% were advised to limit their sex life. A higher percentage of those patients who were less fit were advised to limit their sex life. Most patients felt it was appropriate to discuss sexuality with their physician. However, in the United States the topic is often initiated by the patient, while in Spain the physician is the one who initiates the discussion. Despite the fact that physicians often make recommendations to limit sexual activity, two-thirds of the patients consulted said they were completely satisfied with the advice given by their physicians. This is a curious phenomenon and suggests to us that in actual clinical practice, doctor-patient communication is not rigid and medical advice is not a military order. Patients may be skeptical or even laugh at the doctor’s answers, but they enjoy the process of communication, which is also a good doctor-patient relationship. The conclusion in the abstract section of the article is also somewhat curious: “Only a small proportion of patients reported consulting about sexual life after an acute heart attack. Suggestions to limit sexuality are not supported by clinical evidence or guidelines.” The article does not give further data on whether sex after heart attack affects prognosis, but following the general logic of the study, and with data exploring this issue further seemingly so readily available to the team, one would think they would have a follow-up article published, which would be in line with their name Variation in Recovery: Role of Gender on Outcomes Variation in Recovery: Role of Gender on Outcomes of Young AMIPatients (Variation in Recovery: The Impact of Gender on Prognosis in Young Acute Heart Attack Patients), and from their tone of opposition to restricting sex, they provide clinical evidence that should support the idea that sex improves prognosis.