Sexual dysfunction and stroke
About 75% of stroke patients, especially males, who have been sexually active before their stroke report decreased coital frequency, (Kalliomäki et al 1961, Sjögren et al 1983, Monga et al 1986a, Boldrini et al 1991, Aloni et al 1993, Korpelainen et al 1998). Orgasmic dysfunction is seen in 75% of females and 66% of males after stroke (Sjögren et al 1983). Sexual dysfunction may occur in stroke victims with only mild, or even without disability (Cheung 2002). These problems are usually considered in terms of the stress of stroke as a life event, and may respond to counselling of patient and partner. Cognitive impairment may disturb the sexual relationship, for example, in aphasia (Wiig 1973). Hemi-hypoaesthesia is associated with decreased sexual drive due to loss of erogenous zones. Hypersexuality may follow frontal or temporal infarction (Monga et al 1986b, Donnet et al 1997, Absher et al 2000).
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