Yes, many patients develop increased spasticity during sexual intercourse and especially during orgasm.³ The human body experiences an exceptional hormonal situation in the sense of a stress reaction, and the jerking movements increase the internal tension of the skeletal muscles. Exaggerated expectations and pressure to “perform” come on top. All these parameters promote increased spasticity.

However, even if the sexual act has once been affected by increased spasticity, it does not necessarily have to happen again next time. Increased spasticity during sexual intercourse can often be overcome or at least reduced by small adjustments. These can include various sensual stimuli such as dimmed light, scented candles, relaxing music, as well as changes of location and position (bathtub, swing systems) or massages. Simple aids such as support pillows, rolled up towels or the partner’s hands can help to relieve muscular tension in parts of the body.

³ Park J-H. et al. Stroke and sexual dysfunction – A narrative review. Journ. J Neurol Sci 2015; 350:7-13. Epub: 2015/02/07.