[Disorders of sexual function in men after strokes]

The author examined 74 men in the rehabilitation stage after a cerebrovascular attack. A cerebrovascular attack can influence sexual function in younger and middle-aged men. Transient sexual complaints, in particular in younger patients after a cerebrovascular attack were favourably influenced by psychotherapy (standardized talk with the patient, possibly his wife). Difficulties may have also a pharmacological cause, in particular during prolonged treatment with methyldopa combined with beta--blockers. Change of this treatment contributed to normalization on improvement of sexuality in practically all 40-49 year-old patients and almost half 50-59 year-old patients. Little therapeutic success was achieved hemiparetic patients with concurrent aphasia.