Sexual dysfunction is common among individuals who are post-stroke but this rarely attracts attention among clinicians during stroke management. The aim of this study was to assess prevalence of sexual dysfunction among Nigeria stroke survivors and their age and sex matched healthy controls, and determines the correlates of sexual dysfunction among stroke survivors. A comparative cross-sectional study of 121 stroke survivors and sex matched 121 healthy controls completed 14-item Changes in Sexual Functioning Questionnaire. Associated factors with sexual dysfunction were assessed. Male and female stroke survivors of similar age and healthy controls participated in the study. The stroke survivors had significant lower sexual functioning with higher prevalence of sexual dysfunction (84%) compared with healthy controls (35%) and these remained unchanged when stratified by gender and sexual response cycles. Females had consistent significant higher prevalence of sexual dysfunction than their male counterparts either as a stroke survivor (95 vs. 75%) or a healthy individual (50 vs. 21%). Only increase in age and female gender were significant correlates of sexual dysfunction. Every one-year increase in age has a 6.7% (OR 1.067, CI 1.012–1.125) increase in odds of having sexual dysfunction among stroke survivors. Female stroke survivors compared with male were seven times (OR 6.934, CI 1.645–29.226) more likely to be sexually dysfunctional. In conclusion, the stroke survivors have significant lower sexual functioning and higher sexual dysfunction compared with apparently healthy controls which suggest that stroke impacted sexual functionality in post-stroke individuals. Being a female and/or with increase in age are significant associated factors to low sexual functioning.
Sexuality and Disability – Springer Journals
Published: May 2, 2017
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