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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.In both sexes limited to no sensation below the level of injury is common.By having wheelchair sex many couples are re-discovering sex after spinal cord injury.Be aware tubing pressed hard against skin can cause blisters.

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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.

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.

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.

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