I think once you feel ready get fit. Over the months heart rate will drop and get softer which may soften the noise. I had a tissue valve but even with that my heart beat was so strong it was almost rocking me when in bed resting. Once fit everything is quite and slow. Good luck. Check with your doctor if you need some reassurance before upping your exercise regime.Thanks for reply. But my valve sounds really good. I keep trying to focus an attention to other things but it’s still difficult. Maybe someone has ideas how to get used with current valve as well as I don’t want to make an appointment with psychologist.