Sexual disorders after stroke are thought to be due to multiple etiologies, including both organic and psychosocial causes. Sexual function in post-stroke patients is often disregarded by healthcare professionals although sexuality is a fundamental part of quality of life. Beside pharmacological treatment, one of the most important, but underestimated, success factors of SD therapy is undeniably a proper counseling, which is mandatory to provide correct information on post-stroke sexuality helping the patients and their partners to regain intimacy.