ORIGINAL PAPER Sexual Dysfunction in a Nigerian Stroke Cohort: A Comparative Cross-Sectional Study Olufemi O. Oyewole 1 • Michael O. Ogunlana 2 • Caleb A. O. Gbiri 3 • Kolawole S. Oritogun 4 Ó Springer Science+Business Media New York 2017 Abstract Sexual dysfunction is common among individuals who are post-stroke but this rarely attracts attention among clinicians during stroke management. The aim of this study was to assess prevalence of sexual dysfunction among Nigeria stroke survivors and their age and sex matched healthy controls, and determines the correlates of sexual dysfunction among stroke survivors. A comparative cross-sectional study of 121 stroke survivors and sex matched 121 healthy controls completed 14-item Changes in Sexual Functioning Questionnaire. Associated factors with sexual dysfunction were assessed. Male and female stroke survivors of similar age and healthy controls participated in the study. The stroke survivors had significant lower sexual functioning with higher prevalence of sexual dys- function (84%) compared with healthy controls (35%) and these remained unchanged when stratified by gender and sexual response cycles. Females had consistent significant higher prevalence of sexual dysfunction than their male counterparts either as a stroke survivor (95 vs. 75%) or a healthy individual (50 vs. 21%). Only increase in age and female gender were significant correlates of sexual dysfunction. Every one-year increase in age & Olufemi O. Oyewole oyewoleye@yahoo.co.uk; oyewoleye@gmail.com Michael O. Ogunlana opeoluwamic@yahoo.com Caleb A. O. Gbiri calebgbiri@yahoo.com Kolawole S. Oritogun kolabioscientist@yahoo.com 1 Department of Physiotherapy, Olabisi Onabanjo University Teaching Hospital, PMB 2001, Sagamu, Nigeria 2 Department of Physiotherapy, Federal Medical Centre, PMB 3031, Abeokuta, Nigeria 3 Department of Physiotherapy, College of Medicine, University of Lagos, PMB 12003, Lagos, Nigeria 4 Department of Community Medicine and Primary Care, Olabisi Onabanjo University, OACHS, PMB 2022, Sagamu, Nigeria 123 Sex Disabil DOI 10.1007/s11195-017-9488-6