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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.Attempted penetration of the vagina by any means may trigger adductor and pelvic floor muscle spasm. It has been reported that 53 percent of women have experienced orgasm after spinal cord injury.

The majority of spinal cord injury wheelchair users are 15 to 45 years of age so sex and fertility often become an important issue.Supra Pubic Catheter users are free to engage in wheelchair sex, intimacy and sexual intercourse anytime.Usually high level quadriplegics cannot go without a catheter for long.If a sphincterectomy has been performed reflex and psychogenic erections are rarely possible.Difficulties with erections may eventually be experienced by nearly half of men with Multiple Sclerosis (MS) caused by lesions of the thoracic spine and autonomic nerves.

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