Erectile dysfunction is a common problem in cerebrovascular stroke patients. It may have a significant impact on the quality of life of sufferers and their partners. Consequential to stroke is often low self-esteem, depression, anxiety, rejection by a partner or spouse, impotence, problems communicating due to aphasia or unwillingness to communicate, and role changes. Mobility problems, fatigue, previous illnesses, and medication also have a negative effect on sexual activity. However, it is often neglected during rehabilitation along with the psychological issues that may affect sexual dysfunction.