Abstract
Over three-quarters of stroke survivors experience disruption of sexual functioning. Studies reporting poststroke sexual function of Nigerian patients are few. This survey reports sexual dysfunction in Nigerian stroke survivors, and determines the influence of sociodemographic, clinical and psychological factors on the dysfunction. Participants were 77 stroke survivors (60 males; 17 females) recruited consecutively from a teaching hospital. Participants completed the Beck Depression Inventory, Stroke Specific Quality of Life Scale and post-stroke sexual function questionnaire. Participants' motor ability was rated on the Modified Motor Assessment Scale. Data were analysed using Chi square test and Mann-Whitney U test (alpha level set at 0.05). Participants were aged 55.2 ± 10.8 (28-79) years. Most (94.8%) participants reported a dysfunction in sexual function. Decline in libido and coital frequency were reported by >70% and in erection, ejaculation and orgasm by >60% of participants. Participants' with erectile dysfunction were significantly older than those without (U=267.0; p=0.02). Depression, quality of life, willingness to have sex, general attitude to sex and ability to express sexual feelings had significant influence on sexual dysfunction reported by participants (p<0.05). Our findings suggest that sexual dysfunction is common among Nigerian stroke survivors and it is mostly associated with psychological factors.
Highlights
Stroke is a major cause of long-term disability worldwide, as it results in considerable impairment of sensory, motor, mental, perceptual and language functions1
Most (94.8%) participants reported a dysfunction in sexual function
Depression, quality of life, willingness to have sex, general attitude to sex and ability to express sexual feelings had significant influence on sexual dysfunction reported by participants (p
Summary
Stroke is a major cause of long-term disability worldwide, as it results in considerable impairment of sensory, motor, mental, perceptual and language functions. Stroke is a major cause of long-term disability worldwide, as it results in considerable impairment of sensory, motor, mental, perceptual and language functions1 It is a leading cause of morbidity and mortality in adults in the productive ages. Sexuality is an integral part of normal life in men and women of all ages. A marked decline in sexuality has been reported after stroke. It has been reported that as many as three-quarters of stroke survivors experience disruption of sexual functioning. Over three-quarters of stroke survivors experience disruption of sexual functioning. Studies reporting poststroke sexual function of Nigerian patients are few
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