The amount of physical sexual function and ability to feel pleasure or pain sensation after a spinal cord injury depends on level and completeness.
In general, an incomplete spinal cord injury affects sexual function to a varying degree if at all, as opposed to complete where no function exists.
Wheelchair sex enriches their lives and results in a more understanding closer relationship.
Never assume a spinal cord injury causes infertility or makes one incapable of catching and spreading Sexually Transmitted Diseases (STD). Men with a permanent Indwelling Catheter (IDC) can remove or fold back and cover with a condom or otherwise secure to penis shaft.
Men with incomplete spinal cord injuries may achieve reflex, but not psychogenic erections.
That is; an erection may be achieved by physical stimulus, touch, not erotic vision or thought.
Be aware tubing pressed hard against skin can cause blisters.
The ability to achieve a sustainable erection for wheelchair sex and reach orgasm is usually possible.
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.
The most sensitive area of the penis is the fraenum (underside of penis head).
A vibrator applied to the fraenum can not only induce erection but orgasm, ejaculation.
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.