Zhang Zhehao, Deng Lan, Lv Xin-Ni, Li Zuo-Qiao, Li Qi
Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Department of Neurology, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Neurol Sci. 2025 Feb;46(2):605-615. doi: 10.1007/s10072-024-07841-w. Epub 2024 Oct 30.
Sexual dysfunction manifests as various challenges during sexual activity and is a prevalent condition that significantly impacts quality of life. Post stroke sexual dysfunction (PSSD) is particularly concerning, yet it is often overlooked by both healthcare providers and patients.
We conducted a comprehensive literature review, examining research and reports related to sexual dysfunction following stroke. Our aim is to synthetize an extensive, detailed and up-to-date overview of its prevalence, underlying mechanisms, and interventions.
PSSD, often underestimated among stroke survivors, has a high incidence but remains poorly understood in terms of its neurobiological mechanisms. Swift and accurate diagnosis, coupled with timely rehabilitative intervention, is crucial. However, the development of comprehensive guidelines is impeded by a lack of high-quality literature. This review seeks to present recent advances in understanding PSSD, and to advocate for a structured strategy in terms of the long-term rehabilitation of stroke survivors.
性功能障碍表现为性活动中的各种挑战，是一种普遍存在的状况，严重影响生活质量。中风后性功能障碍（PSSD）尤其令人担忧，但往往被医疗服务提供者和患者忽视。
我们进行了全面的文献综述，研究与中风后性功能障碍相关的研究和报告。我们的目的是综合其患病率、潜在机制和干预措施的广泛、详细且最新的概述。
PSSD在中风幸存者中常常被低估，发病率很高，但在神经生物学机制方面仍知之甚少。快速准确的诊断以及及时的康复干预至关重要。然而，由于缺乏高质量的文献，全面指南的制定受到阻碍。本综述旨在介绍在理解PSSD方面的最新进展，并倡导针对中风幸存者长期康复的结构化策略。
