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That is; an erection may be achieved by physical stimulus, touch, not erotic vision or thought.
While a more than adequate blessing for most, such erections are not always sustainable or strong enough for penetrative sex.
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.
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.
The most sensitive area of the penis is the fraenum (underside of penis head).
Supra Pubic Catheter users are free to engage in wheelchair sex, intimacy and sexual intercourse anytime.
For women complete or incomplete, following an initial absence of menstrual cycle, fertility is rarely impaired, though vaginal lubrication may be.
In both sexes limited to no sensation below the level of injury is common.
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.
For men with incomplete spinal cord injuries involuntary motor and or sensory function still exists below the level of injury.
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.