Cómo cambia la sexualidad después de un derrame cerebral

La sexualidad puede cambiar después de un derrame cerebral. Los accidentes cerebrovasculares rara vez son una causa directa de disfunción sexual. Pero el estrés provocado por un derrame cerebral puede contribuir a los cambios sexuales.

El estrés de un derrame cerebral comienza casi inmediatamente, y continúa después de que un sobreviviente de un derrame cerebral y sus seres queridos salgan del hospital. Un sobreviviente de un derrame cerebral y sus seres queridos deben enfrentar nuevos desafíos después de un derrame cerebral, como:

Inevitablemente, este inesperado diluvio de nuevos desafíos puede afectar una relación romántica, sin mencionar lo que pueden hacer las discapacidades físicas y mentales provocadas por el derrame cerebral para cambiar las interacciones de una pareja. La dinámica de la relación y los aspectos sexuales de la relación pueden ser cambiados, al menos temporalmente, por problemas como la afasia (incapacidad para hablar o entender el lenguaje hablado), hemiplejía (parálisis de un lado del cuerpo que generalmente involucra la cara, brazo y pierna) o hemiparesia (debilidad parcial de un lado del cuerpo).

Función sexual después de un derrame cerebral

By itself, stroke is almost never a direct cause of sexual dysfunction. Studies show that there appears to be a temporary time of adaptation after the stroke in which sex life is halted. For instance, one study found that 80% of men who report erectile dysfunction after stroke regained function a few months later. However, the couple may continue to suffer from sexual dysfunction for years after a stroke. Here is a brief list of some of the most common reasons for this:

Fear of Another Stroke

Muchas personas creen que una vez que una persona ha sufrido un solo derrame cerebral, la emoción de la actividad sexual podría causarles otro derrame cerebral . Esto es raramente el caso. En raras ocasiones, su médico puede pedirle a un paciente con enfermedad cardíaca avanzada que minimice las demandas físicas en el corazón (incluso de las relaciones sexuales) para prevenir un ataque cardíaco. También se recomienda la actividad sexual limitada cuando una persona está a punto de someterse a una cirugía para reparar un aneurisma grande o un vaso sanguíneo roto. Esto se hace para evitar aumentos en la presión arterial inducidos por el sexo que podrían causar la ruptura y sangrado de los vasos sanguíneosafectados .

Studies show that this type of fear is one of the most common causes of sexual dysfunction among stroke survivors. One study, for instance, shows that up to 50% of patients who recover from stroke limit their sexual activity because of fear that it might harm them. Furthermore, a large percentage of the partners of stroke survivors also report being afraid to initiate sex because of fear that their partner might suffer another stroke.

Decreased Libido

Decreased libido after stroke can be expected from several psychological factors, including low self-esteem, uncertainty about the future of a relationship, preoccupation with finances, and difficulties accepting a new life with a disability. Alternatively, decreased libido can be caused by some medications including antidepressants, and high blood pressure medicines(e.g., beta blockers.).

Immobility

Strokes can affect the areas of the brain that control arm and leg movements, thus preventing couples from achieving the sexual positions they enjoy most. Of course, some people are more affected than others by this, depending on the extent of damage to the brain caused by the stroke.

Depression

Several studies suggest that depression dampens sex after a stroke by affecting both the stroke survivor, and his or her partner. There is still a question, however, about whether it is depression itself that dampens sex or whether it is the treatment of depression, as decreased libido is one of the most common side effects of antidepressant medications.

Damage to Sex Areas of the Brain

As stated above, strokes rarely are the direct cause of sexual dysfunction. However, some strokes can affect sensation from the genital area, leading people to feel numbness around their genitals. Other strokes can cause people to fail to recognize their own genitals. Of course, either of these cases would make sex difficult. Strokes that affect the hypothalamus, an area of the brain involved in the control sexual hormones, can also affect a person’s sexual drive. In some rare instances, a stroke can also cause increased sexuality, or unusual and inappropriately explicit sexual behavior