Then, too, the frustration and embarrassment that often follows a brain attack can reduce your self-esteem and further affect your sexual life. Finally, the stress of relearning how to perform daily tasks may cause you to be too tired for sex. Depending on the area of the brain affected, a stroke can cause physical and emotional changes that affect a person's sex life. Men, for example, may have difficulty getting an erection or ejaculating. Similarly, a woman's vagina may have less feeling or less lubrication.
Medication also can cause changes that make having sex more difficult.
Of course, while all these problems are possible, don't necessarily assume you'll have them. Everyone is different. If your sexual relationship with your partner has been affected or you have questions about sexual activity, have a frank talk with your doctor or a qualified counselor or sex therapist. Discuss your sexual interest and changes you need to make because of limitations from your stroke. Ideally, plan for sexual activity in advance, just as you'd plan any other activity you wanted to enjoy to the fullest.