How to make sex with breathlessness more enjoyable

One of the most important measures is to actively support your own breathing. Learning to breathe consciously, even in moments of physical exertion, can significantly reduce breathlessness.

• Diaphragmatic breathing: Instead of breathing shallowly into the chest, breathing should be directed into the abdomen. The diaphragm works more effectively and the lungs are better ventilated.
• Lip braking: This technique is particularly well known for COPD. Inhale through the nose, then exhale slowly and in a controlled manner through slightly pursed lips - this stabilizes the airways and reduces the feeling of breathlessness.
• Calm, even breathing: In exciting moments, many people tend to hold their breath or breathe very shallowly. A conscious, calm breathing rhythm, on the other hand, helps to avoid panic and shortness of breath.

Tip: It can be helpful to practise breathing techniques in a quiet environment before making love - alone or with your partner.

Some sexual positions are more physically demanding than others. If you have difficulty breathing, positions that avoid pressure on the chest and stomach are recommended.

• Lateral positions: The spooning position, for example, allows closeness with minimal physical strain.
• Upright positions: If the upper body is elevated, breathing is easier - for example, by sitting in an upright position or elevating the body with pillows.
• Support with pillows: Cushions under the back, knees or hips can help to enable comfortable postures and relieve strain on the muscles.
• The following applies here: What is comfortable varies from person to person - the key is to try it out and find out together.

Sex can be physically demanding, so it's important to pay attention to your own energy reserves:

• Choose the right time: It's best to enjoy intimacy when you feel fit - for example, in the morning or after a rest period.
• Adjust your pace: Not only is slowness sensual, it's also helpful if you're short of breath. Breaks are allowed - or even desirable.
• Ensure fluid intake: Drinking enough improves mucus clearance in the lungs and can make breathing easier.

A short walk or breathing exercise beforehand can also help to get the body going without overstraining it.

The atmosphere plays a major role. Those who feel comfortable relax more easily - and breathe more freely.

• Pay attention to the room climate: Good ventilation and a pleasant temperature promote well-being.
• Relaxation rituals: A massage, calm music or a warm bath beforehand help to reduce stress and muscle tension.
• Avoid distractions: Cell phone off, TV off, full attention for each other - this reduces external stimuli and promotes closeness.

Perhaps the most important point: talking helps. Shortness of breath can be frightening - both for the person affected and their partner. This makes it all the more important to talk openly about wishes, fears and needs.

• Respect boundaries: No one has to do anything that doesn't feel good. A “stop” or “I need a break” should be possible at any time.
• Strengthen understanding: Many partners don't even know how they can help. Empathetic explanations can reduce uncertainty on both sides.
• Rethink intimacy: Closeness does not always mean penetrative sex. Touching, kissing, cuddling together or erotic conversations can also be very bonding.

Sex despite breathlessness? Yes - with consideration, communication and a little preparation. It's not about performance, but about connection. Empathy, flexibility and small adjustments can go a long way. And if uncertainties remain, a conversation with a doctor or therapist can help you find suitable ways together. Intimacy can and should remain a part of life despite health challenges.