Sexual dysfunction

 

Decrease in libido

• Both may find that libido (sex drive) is lessened due to tiredness, anxiety, depression, doubts about self-image and concerns for the future
• A woman may find that sexual arousal takes longer after her stroke.  There may be a loss of sensation or a degree of vaginal dryness, which may hinder sexual activity
• A man is more likely to be concerned if he finds he is unable to achieve or sustain an erection.  This can happen after a stroke for many reasons but it is also common after any serious illness.  After a stroke, even if one side of the body has been affected, the nerve processes involved on the unaffected side are usually enough to sustain an erection
• The side effect of some prescribed antidepressants, conditions such as diabetes and prostate problems may also cause erection problems in men.  These types of problems may require further intervention by a GP and/or specialist

Increase in libido

• A minority of people experience an increased libido and sexual activity after a stroke.  This could be explained by improved relations with their partner and by improvement in the emotional and social aspects experienced
• Very rarely a stroke can cause a disorder called hyper-sexuality, which can be related to the area of brain damaged by the stroke.  This is described as an abnormal, increased sexual desire