There are also a number of psychosocial factors which can affect sexuality and sexual activity after stroke. All members of the multidisciplinary team should be able to provide Limited Information on these factors and be comfortable discussing these with an individual.
Q. What psychosocial factors can affect sexuality after stroke and what information should you be able to provide?
Limited Information to provide:
Communication
Discuss whether the couple normally talked about sex prior to the stroke. If appropriate refer to communication aids Reference CHSS Conversation Support Book.
Caregiver v lover role conflict
If the person who has had a stroke requires intimate physical care, discuss possibility of physical care being provided by paid carers.
Mood and depression
Mood can commonly be affected following stroke. People who experience low mood and depression often lose interest in activities they have previously enjoyed. Mood factors may have an impact on motivation, feelings of self worth and self esteem which may in turn impact on sexual functioning.
Altered body image
Point out that this is very personal to them and their partner may not attach such significance to any changes.
Relationship role changes
The person who has had the stroke and their partners may have to relinquish and /or take on roles. This may lead to stress and change the dynamics of the partnership. Acknowledge this change.
Personality/behavioural changes
Prior to having the stroke, the person may have been very demonstrative and loving towards partner but is now no longer. Talk this through with the couple.
Anxiety about resuming sex
Reassure that, in general terms, it is fine to resume sexual activity after stroke. Reference CHSS Sex after Stroke.
Page last reviewed: 10 Feb 2021
