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Will leg and hand problem after paralysis affect my sex life?

Q: My 32 years old friend had paralysis three years back but has recovered. He is having problems in his right leg and hand. Will the problem in his legs and hands after paralysis affect his sexual relationship? He also has problem in speaking.

A:Stroke by itself is not a problem for having sex. However the patient should be thoroughly assessed for the risk of further strokes or heart attacks. Their heart examination and investigations should be normal, and a qualified cardiologist should also be consulted for assessing the effort tolerance. If feasible, an MRI angiography of brain should also be done to see if the brain circulation is not severely compromised. If these two investigations suggest that the patient can tolerate the physical and emotional stress associated with sex, the patient can have sex. However use of sexual stimulants may be dangerous, and hence avoided

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