Although spinal cord injury SCI often causes sexual dysfunction , many people with SCI are able to have satisfying sex lives. Physical limitations acquired from SCI affect sexual function and sexuality in broader areas, which in turn has important effects on 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. This results in lost or reduced sensation and muscle motion , and affects orgasm , erection , ejaculation , and vaginal lubrication. More indirect causes of sexual dysfunction include pain, weakness, and side effects of medications.
This Is What It’s Like To Have Sex As A Quadriplegic | SELF
Sexual identity is a significant and encompassing aspect of one's personality — sexuality plays an essential role in how we feel about ourselves, how we relate to others, how others relate to us. Self-image can be shaken. Women wonder if they can have sex again, whether they can attract a partner, whether the partner will stay, whether having children is possible. Paralysis itself doesn't affect a woman's libido or her need to express herself sexually, nor does it affect her ability to conceive a child. Generally speaking, sexuality in women living with paralysis is less affected than in men.
Sexual Functioning in Men Living with a Spinal Cord Injury–A Narrative Literature Review
Sexual identity is a significant and encompassing aspect of one's personality — sexuality plays an essential role in how we feel about ourselves, how we relate to others, how others relate to us. To be sure, paralysis often impacts people's sexuality, including changes in physical functioning, sensation and response. Self-image can be shaken. Paralysis affects a man's sexuality both physically and psychologically. They question, "can I still do it?
The physical act of intercourse is not all that defines your sexuality. When we talk about sexuality, we mean more than what goes on behind your bedroom doors. Sexuality is the intimacy between you and your partner, your preferences, your body image and desires. The definition above is not usually what most people think of when they think of sex. This is especially true when people have experienced a spinal cord injury SCI.