After a spinal cord injury (SCI), sexuality can still be satisfying, although the injury often causes sexual dysfunction. Physical limitations from SCI can affect sexual function, sexuality, and quality of life. Damage to the spinal cord impairs its ability to transmit messages between the brain and parts of the body below the level of the lesion, resulting in lost or reduced sensation and muscle motion, and affecting orgasm, erection, ejaculation, and vaginal lubrication. SCI can also impact sexuality when it leads to depression and an altered self-image. Even so, many people with SCI have satisfying sex lives, often including sexual arousal and orgasm. They can focus on different areas of the body and types of sexual acts, and often find newly sensitive erotic areas of the skin in erogenous zones or near borders between areas of preserved and lost sensation. Drugs, devices, and surgery can help men achieve erection and ejaculation. Although male fertility is reduced, many men with SCI can still father children. Women's fertility is not usually affected, although precautions must be taken for safe pregnancy and delivery. (Full article...)
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