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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.

Swallowing a pill has much less shock value than injecting and massaging meds into the penis.

While both methods can help sustain an erection, the ability to achieve some form of erection in the first place, is most desirable.

While a more than adequate blessing for most, such erections are not always sustainable or strong enough for penetrative sex.

Not only can unpredictable erections cause embarrassing situations during sexual intimacy but for wheelchair users in public (being void of sensation below the level of injury) unaware they have an erection.

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.

The ability to achieve a sustainable erection for wheelchair sex and reach orgasm is usually possible.After a complete injury the ability to achieve erections, ejaculate, and father children can be greatly compromised.For women complete or incomplete, following an initial absence of menstrual cycle, fertility is rarely impaired, though vaginal lubrication may be.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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