Libido

Brain injury and sexual issues

Traumatic brain injury can cause changes in thinking, behaviour and body function, depending on which brain areas were affected and to what degree. Generally, the more severe the injury, the more significant the symptoms and loss of function will be.

Brain injury can change the way a person experiences and expresses their sexuality.

Common problems can include reduced sex drive, difficulties with sexual functioning (such as erectile problems) and behaving sexually at inappropriate times.

Common changes in sexual behaviour after a traumatic head injury include:

  • Reduced libido – about half of people with a traumatic head injury experience a drop in sex drive. The remainder experience increased libido or no change at all.
  • Erectile problems – between 40 and 60 per cent of men have either temporary or permanent impotence following their injury.
  • Inability to orgasm – up to 40 per cent of men and women report difficulties having an orgasm.
  • Reduced frequency of sex – possible reasons for this include disability, depression, relationship break-up and sexual problems.

Overcoming sexual problems after brain injury

You should discuss any sexual difficulties after brain injury with your doctor, who can give you information and advice. General suggestions include:

  • Seek treatment for depression, stress and anxiety, if necessary.
  • If your reduced libido is due to medication, it may be possible to take different medications under your doctor’s supervision.
  • Treatment for erectile problems includes counselling and medication.
  • Some people with brain injury forget about important sexual issues such as contraception, initiating sex or pleasuring their partner during sex. Counselling may be useful.
  • Prior contraceptive methods may not be practical after brain injury – for example, a woman with memory problems may forget to take the pill every day. Seek advice on the best contraceptives for you.
  • Photobiomodulation has been proven to assist with libido.