Check out our repository of fact sheets on hundreds of topics ranging from state resources to secondary complications of paralysis. Generally speaking, sexuality in women living with paralysis is less affected than in men. The penis is placed in a cylinder and the air is pumped out, causing blood to be drawn into the erectile tissues. Some medications cannot be taken with ED drugs — make sure to consult your physician especially if you are likely to experience autonomic dysreflexia.
Penile vibratory stimulation PVS is an inexpensive and fairly reliable way to produce an ejaculation at home. There are risks of mechanical breakdown, and the danger that the implant could cause infection or push out through the skin. It requires love and patience, with lots of communication, to bring this out in the open and to seek the needed psychological or medical treatment. While most paralyzed women can have normal vaginal deliveries, certain complications of pregnancy are possible, including increased urinary tract infections, pressure sores and spasticity. For example, routine pelvic exams are not done due to lack of awareness of the need, problems getting onto the exam table, or not being able to find a doctor with knowledge about their disability. Positioning can be an issue but can usually be accommodated. The first is to limit fluid intake if a sexual encounter is planned. Providers might wrongly assume that women with disabilities are not having sex, especially if their disability is severe, and therefore may neglect to screen these women for sexually transmitted diseases STDs or even perform a full pelvic exam. Generally speaking, sexuality in women living with paralysis is less affected than in men. Paralyzed Veterans of America PVA offers authoritative clinical practice guidelines for sexuality and reproductive health. In some, it enhanced lubrication and sensation during intercourse. A small body of research suggests that women with SCI can achieve orgasm using a clitoral vacuum suction device Eros device , FDA approved to treat female orgasmic dysfunction. Vacuum pumps Beyond drug options, vacuum pumps produce an erection. An injection erection is a more difficult option for those with limited hand function. Autonomic dysreflexia is a serious risk during labor for those with injuries above T6. Most paralyzed men are able to have a reflex erection with physical stimulation unless the S2—S4 pathway is damaged. With good communication, an occasional bladder or bowel accident won't destroy a rewarding sex life. A reflex erection is involuntary and can occur without sexual or stimulating thoughts. Use of diaphragms and spermicides can be difficult for those with impaired hand dexterity. Still, fears about performance can greatly reduce sexual interest. Erections Erections are the number one issue after paralysis. Some are specifically designed with the output power and frequency required to induce ejaculation while minimizing skin problems. Unfortunately, some healthcare providers even suggest to women with disabilities that they abstain from sex and not bear children, even if they can conceive children. Vibrostimulation is most successful in men with SCI above T Professional counseling can help in working through feelings of fear or anxiety over establishing or continuing a healthy relationship after paralysis.
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