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Sexual functioning among stroke patients and their spouses.

J T Korpelainen1, P Nieminen, V V Myllylä

  • 1Department of Neurology, University of Oulu, Finland. juha.korpelainen@oulu.fi

Stroke
|April 3, 1999
PubMed
Summary

Stroke significantly impacts sexual function in patients and their spouses, with psychological and social factors playing a key role. This study highlights common sexual dysfunction and dissatisfaction post-stroke.

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Area of Science:

  • Neurology
  • Psychology
  • Sociology

Background:

  • Stroke affects individuals beyond physical recovery, impacting intimate relationships.
  • Sexual health is an integral component of overall well-being and quality of life.

Purpose of the Study:

  • To evaluate the effects of stroke on the sexual functioning of patients and their spouses.
  • To identify clinical and psychosocial factors associated with post-stroke sexual dysfunction.

Main Methods:

  • A self-administered questionnaire was used to assess prestroke and poststroke sexual functions and habits.
  • 192 stroke patients and 94 spouses participated.
  • Key outcome measures included libido, coital frequency, sexual arousal, and satisfaction.

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Main Results:

  • A majority of stroke patients reported decreased libido, coital frequency, sexual arousal, and satisfaction.
  • Psychosocial factors like attitude toward sexuality, fear of impotence, and communication difficulties were significant predictors.
  • Spouses also experienced reduced libido, sexual activity, and satisfaction.

Conclusions:

  • Sexual dysfunction and dissatisfaction are prevalent in stroke survivors and their partners.
  • Psychological and social factors significantly influence sexual health outcomes after stroke.