Introduction: Sexuality is an important factor influence quality of life .An association between erectile dysfunction (ED) and Coronary artery disease (CAD) has been described in various settings.Aim: To examine the Cardiologists attitudes to discuss sexual problem with patients with Coronary Heart disease and to clarify the different factors that might interfere that.Method: we administered 300 questionnaires to stratified random sample of Cardiologists including residents, specialists and consultants with different gender in Dubai and Cairo, responses to items in questionnaire were analyzed in relation to respondents location, qualification and gender.Results: the majority of cardiologists in Dubai and Cairo were not addressing the sexual health problems with patients with coronary heart disease either in the early or late stage post diagnosis. Lack of time and patient lack of readiness were noted as the highest perceived barriers preventing the Cardiologists from discussing sexual health problems with cardiac patients.Conclusion: The cardiologists in Cairo and Dubai tent to underestimate the scale of sexual problem in Coronary heart disease patients, findings from our study suggest that there is a need to increase the awareness of this devastating problem among the cardiologists, make specific guide lines in the area of sexual consultation available for practice and further training in this area.