Sex and Intimacy.pngA stroke can impact your intimate relationships and sex life in various ways. The effects can be both physical and psychological and can affect your wellbeing. Physical effects including weakness in limbs, fatigue, changes with sensation, pain, spasticity, reduced libido and erectile dysfunction can all be common following a stroke. Psychological effects including depression, anxiety, health concerns and changes to self-esteem and body image can also affect your ability to maintain intimacy after a stroke.

 

Managing Relationships

Relationships may change following a stroke which can make it difficult to maintain intimacy in relationships.  Common reasons for this include changes in roles when a partner becomes a caregiver, communication barriers and emotional disconnection. Therapy and counselling can help you and your partner address and adapt to changes in your sex life and intimacy.

If you are already under the care of your local community stroke team, you can ask them more about this topic at your next visit. They may be able to address some of you concerns through your rehabilitation and/ or direct you for further support. 

Where can I find more information?

The Stroke Association – provide more detailed information on the factors which can cause problems with sex after stroke and provide advice on how to gain help with these common issues. For more information click here.

Headway the brain injury charity also provide detailed information on the effects and treatments of sexual issues. They provide a helpful leaflet, share how others have overcome difficulties and provide top tips. To access this information click here or download the leaflet directly click here.

Enhance the UK Enhance the UK is a charity run by disabled people. They work with businesses all over the UK and abroad, supporting them in achieving their inclusion goals and changing how disability is perceived by society. They have a range of resources on disability and sex ranging from training for healthcare professionals and care homes to podcasts, access to expert advice. To find out more click here.

Different Strokes – are a charity who provide support for younger people affected by stroke. They provide an information pack for younger people who would benefit on further advice on sex after stroke to download the pack click here.

Fumble – a national charity that was originally set up for young people but has useful resources: People with disabilities have sex (and enjoy it) - Fumble

Support in your area 

Below are some links to resources in your area that may be able to offer advice and support.

Leeds Psychosexual Service at Leeds and York Foundation NHS Trust offer specialist assessment and treatment to men and women experiencing sexual dysfunction.  The team offers therapy to individuals and couples from 18 years of age and treatment is delivered using a variety of therapeutic approaches, which are tailored to the individual.

Referrals are not accepted when sexual difficulty is due to a physical/medical condition, e.g. diabetes, cardiovascular disease, neurological disease, and where there is no significant psychological component. Referrals can be made by GP and primary and secondary health services. For further information click here.

The Erectile Dysfunction Clinic at Leeds Teaching Hospitals NHS Trust, Urology Service  is led by two Urology clinical Nurse specialists in the Paul Sykes Centre at St James’ Hospital. These specialist clinics aim to deliver a holistic assessment and offer a wide range of treatment options to men who present with erectile dysfunction. Ask your GP if you are eligible for referral. For more information click here.

Relate is a national charity that provide access to relationship counsellors in your area. Click here to find out more.

Disclaimer 

If you need further information speak to your GP who may be able to offer advice or refer you to a service that addresses your concerns.

Advice for Health Care Professionals 

The College of Sexual and Relationship Therapists (COSRT) – The professional body for psychosexual and relationship therapists COSRT - College of Sexual and Relationship Therapists

The Institute of Psychosexual IPM - The Institute of Psychosexual Medicine (IPM) trains doctors and related health professionals who see patients with psychosexual dysfunction presenting in their normal practice.     

  • Train to help people with a range of sexual difficulties.
  • Learn skills to help you in all areas of your practice.
  • Gain industry-recognised qualifications.