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Wheelchair sex and the ability to develop sexuality, participate in sexual activity, and maintain long term intimate relations is desired as much by people with a disability as in the general population.The majority of spinal cord injury wheelchair users are 15 to 45 years of age so sex and fertility often become an important issue.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 introduction of oral medications Viagra and Ciallis have largely replaced their intracavernosal predecessors.Women with an IDC can also leave a catheter in during sex unless it causes problems.Stoma and those who self-cath (pass a catheter several times a day to drain bladder) usually do so just prior to sex to avoid any unwanted urine leakage.Women with incomplete spinal injuries are generally able to produce vaginal lubrication and enjoy wheelchair 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.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.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.
The most sensitive area of the penis is the fraenum (underside of penis head).