#PatientAdvocacy

A new comprehensive review published by the American Heart Association highlights the often-overlooked issue of sexual health following a stroke, calling for increased awareness and tailored support from healthcare professionals worldwide, including Thailand. As stroke survivors face numerous physical and psychological challenges, the report underscores that the impact on sexual function and intimacy is significant, yet remains rarely addressed in standard care.

Sexual health plays a crucial role in overall quality of life, particularly for stroke survivors, whose relationships and sense of self can be deeply affected. In Thailand, where over 250,000 people experience a stroke each year and the number of survivors continues to rise due to advances in acute care, the topic frequently falls outside the scope of post-stroke rehabilitation programs. According to the American Heart Association review, addressing the sexual wellbeing of stroke survivors should be an integral part of recovery—not only for physical rehabilitation but also for emotional and social reintegration (ahajournals.org).

A growing body of international research and recent expert commentary has exposed common myths about pelvic floor health, raising crucial questions for Thai readers about prevention, treatment, and societal awareness. As pelvic floor issues increasingly surface in medical and lifestyle conversations, Thai health professionals and the public alike must reconsider the idea that pelvic floor disorders are inevitable, unpreventable, or exclusive to women — and whether the all-popular Kegel exercises are always the answer.

The question of whether people with chronic fatigue syndrome (CFS), also called myalgic encephalomyelitis (ME), should engage in physical exercise remains a subject of intense discussion in the medical community. Recent studies confirm that while carefully managed exercise can benefit some individuals living with CFS, an overly aggressive or poorly supervised approach risks worsening symptoms—a dilemma with high relevance for patients and clinicians in Thailand and worldwide.

Chronic fatigue syndrome is a debilitating condition characterised by overwhelming fatigue that does not improve with rest and is often accompanied by cognitive issues, sleep disturbances, pain, and the hallmark symptom known as post-exertional malaise (PEM), where physical or mental activity provokes a sharp worsening in symptoms, sometimes days after the exertion. According to recent overviews, including the extensive summary on Wikipedia, CFS affects millions globally and is increasingly recognised as a sequela of post-viral illnesses, including long COVID, making up-to-date recommendations especially timely.