Clinical Manifestations of Post-stroke Sexual Lives.

, Kim, Su Kyung; , Kim, Wan Ho; , Lee, Kuy Bum; , Rho, Do Kyun; , Jung, Hyo Sun

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2005;29(3):254-259.

Kim, Su Kyung , Kim, Wan Ho , Lee, Kuy Bum , Rho, Do Kyun , Jung, Hyo Sun

Department of Rehabilitation Medicine, National Rehabilitation Hospital, Korea. philsum@hanmail.net

뇌졸중 후 성생활의 임상양상

김수경, 김완호, 이규범, 노도균, 정효선

국립재활병원 재활의학과

Abstract

Objective
To assess the impacts of stroke on sexual activities and functioning of patients with stroke and to study the associations of clinical and psychosocial factors with sexual changes following stroke.
Method
Ninety-seven patients with stroke were interviewed and completed questionnaire concerning their prestroke and poststroke coital frequency, sexual satisfaction, and sexual functions such as erection, ejaculation, and vaginal lubrication.
Results
Sexual activities such as coital frequency and sexual satisfaction were decreased in patients after stroke. Sexual dysfunctions including impotence (68%), a decline in ejaculation (66.7%), and a decline in vaginal lubrication(89.5%) were high. Subjective reasons for decreased sexual life after stroke were denial of spouse, impotence, decreased libido, no opportunity of sexual activity due to hospitalization or no sexual partner, fear of relapse, physical discomfort due to hemiparesis and so on. Comparing sexual group with no sexual group after stroke, there were different in age (p=0.040), brain lesion site (p=0.036), prestroke coital frequency (p=0.048), erectile ability (p=0.005), and ejaculation (p＜0.001).
Conclusion
The decline in sexual activities and functioning was due to interpersonal, physical, psychological factors among patients following stroke. (J Korean Acad Rehab Med 2005; 29: 254-259)

Key Words: Stroke, Sexual dysfunction, Poststroke sexual activity