Sexual issues
- Helen Cheung, Stroke Doctor
- 3 minute read
- Last updated: October 2023
Changes to the body and mind after a stroke can affect relationships and sex. Many people find it uncomfortable to talk about sexual issues, but it is important to get help and advice if you need it. Remember, it is normal to have questions about sex. If you are concerned or have questions, you can talk to a member of your stroke care team, your GP (family doctor) or the Irish Heart Foundation.
Some recommendations to keep in mind
Talk it out
Discuss any worries you may have about sex and intimacy with your stroke care team or GP. They can help you understand the physical or emotional changes that your stroke may have caused and provide advice.
Take it slow
It is important to take things slow and communicate with your partner. Talk to them about any concerns or fears that you have about restarting sexual activity. Don’t rush into things if you are not ready.
Adapt to physical changes
Depending on your physical abilities, you may need to experiment with different positions. Find new ways that work for both you and your partner. There are also assistive devices that can help make sex easier and more enjoyable.
Plan ahead
Fatigue is a common problem after stroke. Try to plan for times when you and your partner feel well rested and have more energy.
Address emotional issues
Stroke can influence your mood or emotions, which can affect your relationships and sex life. Bring up any emotional issues you are experiencing, such as anxiety or depression, with your GP or stroke care team. They can help or refer you to a psychologist or counsellor.
Medications affecting sexual function
Some medications, such as certain blood pressure tablets, can have an effect on your urge or ability to have sex. Speak to your doctor if you have any concerns. Don’t stop taking a medication without talking to your doctor first.
Other information
Frequently asked questions
Sex, like other forms of physical activity, may cause a rise in blood pressure, breathing and heart rate during and shortly after it. However, for most people, it is very unlikely that sex will cause them to have another stroke. If you are concerned, contact your stroke care team or GP for advice.
Yes, stroke can have an effect on sexual desire or interest in sex. This can be due to physical changes or emotional factors such as low mood or anxiety. Having a stroke can also affect your confidence. It is important to address these issues, so speak to a healthcare professional who can give you help and support.
