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It has been reported that 45 percent of men have experienced orgasm after spinal cord injury.
Complete injuries involving S2 to S4 affect the nerves responsible for two main chambers (corpora cavernosa) of the penis which fill with blood to create an erection, damage at and above this level makes reflex (physically stimulated) erections totally unachievable for most.
For women complete or incomplete, following an initial absence of menstrual cycle, fertility is rarely impaired, though vaginal lubrication may be.
Women with incomplete spinal injuries are generally able to produce vaginal lubrication and enjoy wheelchair sex.
For women with complete injuries between T10 and T12 there is typically an absence of either psychogenic or reflex lubrication.
Care should be taken not to pull on a catheter during sex but don’t let it spoil enjoyment.
If either wheelchair sex partner (or soloist) has major concern about a catheter for medical or aesthetic reasons tape it and any tubing to the body prior to love making.