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.

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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.

For men with incomplete spinal cord injuries involuntary motor and or sensory function still exists below the level of injury.

The ability to achieve a sustainable erection for wheelchair sex and reach orgasm is usually possible.

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.

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.

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.

Women with incomplete spinal injuries are generally able to produce vaginal lubrication and enjoy wheelchair sex.