Purpose: The physical deficits after stroke have been well documented, but there is little information on the sexual functions of stroke patients. This study examined the associations of the general characteristics with the poststroke changes in sexual functions. Methods: A survey was conducted on 200 stroke patients from November 2008 to February 2009. Among the 200 submitted questionnaires, 147 responded, and the results were analyzed by SPSS for windows version 14.0. Results: A majority of the stroke patients reported a marked decline in all the measured sexual functions, i.e., frequency of sexual intercourse, frequency of kissing and romantic touching, thinking about sex with interest or desire, ability to become sexually aroused and the overall level of sexual satisfaction. Significant differences were observed in age (p<0.01), years since diagnosis (p<0.05), and educational level (p<0.01). There were no significant gender differences (p>0.05). Conclusion: Decreased sexual function is a common problem after stroke. These finding demonstrate a need to develop sexual adaptation programs that can be effective in improving the sexual functions reported by stroke patients.