Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, March 16, 2026

Stroke Recovery May Miss a Key Dimension: Sexual Health

 You mean your competent? doctor hasn't given you all this sexual information already? 

In simplest terms this should have stated; have sex as often as you can!

All this is why you need to be doing lots of sex starting in the hospital, why the hell can't your doctor get you fucking again? 

Sexual Frequency Predicts Greater Well-Being, But More is Not Always Better

 

Sex after stroke

 

Sex linked to better brain power in older age


Sex: The Ultimate Full Body Workout

 

Better Memory From This Extremely Pleasurable Activity - Sex

 

WHY SEX IS BETTER FOR YOUR BRAIN THAN SUDOKU 

 

Sex linked to better brain power in older age

 

Good News About Sex- It Doesn't Cause a Stroke

 

Sex Does Not Increase Heart Attack Risk - What about stroke?

 

Frequent orgasms may protect against heart attacks


Sex linked to better brain power in older age  (Put this in here twice because it's so important!)

 

An orgasm a day keeps the doctor away!

In case you don't have a partner she could prescribe this.

Electrosex

And the benefits of marijuana for sex here:

Sex, Marijuana and Baby Booms

Sex is great for touching.

New study highlights the benefit of touch on mental and physical health

The latest here:

Stroke Recovery May Miss a Key Dimension: Sexual Health

Stroke is the second leading cause of mortality worldwide and the third leading cause of disability-adjusted life-years lost. It is estimated that 1 in 6 people will experience a stroke during their lifetime. Most common long-term effects include speech impairment, difficulty with movement, and loss of functional independence.

Sexuality is another dimension of life that can be affected following a stroke. However, healthcare professionals do not systematically address this issue during the recovery process, regardless of their specialty, and do not consider sexual function as an integral component of rehabilitation, despite evidence that sexual satisfaction meaningfully contributes to patients' quality of life. Moreover, up to 75% of stroke survivors develop sexual dysfunction.

Most stroke survivors report feeling unsupported in addressing their sexual concerns because, during rehabilitation, they receive insufficient information and their sexuality is not considered an aspect of recovery to be assessed.

Sexual problems following stroke can be classified into direct and indirect causes. The direct causes include hemiparesis, spasticity, sensory deficits, and aphasia. Comorbidities, such as depressionhypertension, and other chronic conditions, as well as pharmacologic treatments prescribed before or after stroke, can also interfere with sexual function.

Indirect factors are related to disruptions across different phases of the human sexual response. In the classic Masters and Johnson model, these phases include excitement, plateau, orgasm, and resolution. However, this linear model does not fully account for female sexual responses, and more integrative and dynamic alternative models have been proposed.

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Sexual dysfunction following stroke has a multifactorial origin, in which the physical, psychological, and relational dimensions all play a role.

Therefore, effective sexual rehabilitation after stroke can be structured into five key areas.

1. Basic Activities and Self-Esteem

Patients must first come to terms with their new circumstances and challenges(WHY?  YOUR FUCKING JOB IS TO GET THEM RECOVERED ENOUGH FOR SEX ON THEIR TERMS! You're that incompetent you can't do that?). Changes in their sexuality, including physical limitations(100% recovery and there won't be any limitations!) and effects on self-esteem, is the first aspect to address.

2. Recovering and Adapting the Affective-Sexual Relationship

It is essential to understand a patient's prior sexual life, relationship with their partner, fears, level of satisfaction, and expectations. On the basis of this assessment, , and sexuality should be adapted to the patient's new functional status.(You damned assholes and your tyranny of low expectations!)

3. Apply Feasible Sexual Behavior Tasks

Initially, without resorting to mechanical aids, the aim is to gradually increase desire and explore the erogenous zones previously familiar to the patient. Subsequently, the focus should shift to enhancing intimacy, reducing anxiety, and identifying new bodily sensations reported by patients.

4. Enhance New Erogenous Zones and Methods of Arousal

New body areas that may promote and enhance desire and arousal, such as the neck or back, should be explored. It may also be beneficial to incorporate fantasies shared by the couple, such as intimacy "games" that reinforce the emotional connection between partners.

5. Pharmacologic, Mechanical, and Support Aids Available

Clinicians should inform patients about the available therapeutic options and mechanical aids, including vacuum pumps, positioning cushions, and external stimulators, which can help compensate for functional limitations.

In conclusion, addressing poststroke sexuality must be systematically integrated into the overall rehabilitation process. Sexual dysfunction in these patients has a multifactorial origin, in which physical, psychological, and relational factors converge; thus, an interdisciplinary and individualized approach is needed. Providing information, support, and adaptive strategies not only promotes the recovery of sexual function but also contributes to improved self-esteem, stronger relationships between partners, and better quality of life. Incorporating the affective and sexual dimensions into clinical practice represents a meaningful step toward truly comprehensive, person-centered care.

This article was produced through an editorial collaboration between the Spanish Society of General and Family Physicians and Univadis Spain, part of the Medscape Professional Network. 

Álvaro Morán Bayón,  MD, is a family medicine physician in the Primary Care Management of Salamanca and an associate professor at the School of Medicine, University of Salamanca, Salamanca, Spain. 

This story was translated from Univadis Italy

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