Common types of sexual dysfunction in men following a stroke:
(1) decreased libido
(2) erectile dysfunction
(3) impaired ejaculation
Factors that may contribute to sexual dysfunction:
(1) risk factors for atherosclerotic vascular disease (smoking, hypertension, hypercholesterolemia)
(2) residual paralysis
(3) location of the infarct(s)
(4) concomitant heart disease
(5) concomitant diabetes
(6) concomitant renal failure
(7) age-related decline in performance
(8) depression
(9) drugs used to treat depression
(10) drugs used to treat blood pressure and other cardiovascular risk factors
A stroke involving certain parts of the CNS may be associated with certain impairments:
(1) A lesion of the left basal ganglia was associated with a decreased desire for sex.
(2) A lesion of the right cerebellum was associated with impaired ejaculation.
(3) A lesion of the right pons was associated with erectile dysfunction.
