Can spasticity affect libido?
Yes, Patients with increased spasticity often report a decreasing libido. In particular painful muscle stiffness can reduce sexual desire.
Whether there is a difference between right and left hemispheric lesions has not yet been clarified. Studies in regard to laterality are currently not consistent. 4
4 Park J-H. et al. Stroke and sexual dysfunction – A narrative review. Journ. J Neurol Sci 2015; 350:8. Epub: 2015/02/07.