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Common symptoms of sexual dysfunction after stroke Ongoing low desire (different from pre-stroke) Erection/lubrication difficulties Orgasm harder to reach or weaker Pain during sex Avoiding intimacy due to embarrassment, incontinence, or body-image worries Relationship tension around sex Good care: survivors (and partners) should be asked about sex during follow-ups (e.g., around 6 months and then yearly). Urgent red flags: chest pain/marked breathlessness/palpitations during sex; sudden severe
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