It is well known that sexual dysfunction can result from many drug classes including sedatives, anti-hypertensives and anti-depressants.  Untreated sexual dysfunction can lead to patients’ distress.  A 64-year-old man with a history of a left cerebrovascular accident presented for recruitment in a study on sex after stroke.  He had been experiencing sexual dysfunction for four years. Discussions with the patient were difficult due to his expressive dysphasia, however the researcher asked him to re-visit his general practitioner who reviewed his medications and changed the prescribed sleeping tablet.  Sexual function returned within a week.  This case report highlights the need for doctors to initiate conversations about patients’ sexual concerns.