Abstract:
Background: Sexual dysfunction in stroke survivors is common. However, it is an under recognized complication. Sexual dysfunction is more common among male patients with
stroke and 50% or more of stroke survivors are suffering from sexual decline in post-stroke
period. Sexual health issues of stroke patients are neglected by the partners as well as health
care professionals during the patients′ rehabilitation period.
Objective: To explore the experiences of sexual activities after a stroke attack in men
Methods: In this phenomenological study, 20 males who were aged between 35-55 years with
at least six-month period of post-stroke, visited the physiotherapy and occupational therapy
departments at Rehabilitation Hospital, Ragama, were purposively recruited for the study.
Semi-structured interviews were conducted to collect data and thematic analysis was
conducted.
Results: Three main themes were identified; disease priority rather than sexuality, stroke related sexual inability and deviation of sexual bond with a partner. A priority for the disease
rather than sexuality is mostly seen because of thinking of physical disabilities. Patient and
partner is giving more attention to the recovery process of stroke and both of them have fear
and stress. Stroke-related sexual inability is common due to erectile dysfunction, inability to
tolerate sexual position and problems of ejaculation. Deviation of sexual bond was seen due to
the changing relationship with the partner, feeling of loneliness and busy schedule of the
partner with all households.
Conclusions: Male patients with stroke faced various physical and psychological difficulties
in sexuality. Eventhough, they can engage in sexual activities, thier sexual bond had been
deviated since their partners were busy. It is recommended to have supportive interventions
such as educating both the patients and the partners to enhance the sexual bonds for improving
the quality of life after the stroke.
