Although spinal cord injury SCI often causes sexual dysfunctionmany people with SCI are able to have satisfying sex lives. Physical limitations acquired from SCI affect sexual function and sexuality in broader areas, Eliot wolf wife sexual dysfunction in turn has important effects on quality of life. Damage to the spinal cord impairs its ability to transmit messages between the brain and parts of the body below the level of the lesion.
This results in lost or reduced sensation and muscle motionand affects orgasmerectionejaculationand vaginal lubrication. More indirect causes of sexual dysfunction include pain, weakness, and side effects of medications. Psycho-social causes include depression and altered self-image.
Many people with SCI have satisfying sex livesand many experience sexual arousal and orgasm. People with SCI employ a variety of adaptations to help carry on their sex lives healthily, by focusing on different areas of the body and types of sexual acts.
Neural plasticity may account for increases in sensitivity in parts of the body that have not lost sensation, so people often find newly sensitive erotic areas of the skin in erogenous zones or near borders between areas of preserved and lost sensation. Drugs, devices, surgery, and Eliot wolf wife sexual dysfunction interventions exist to help men achieve erection and ejaculation. Although male fertility is reduced, many men with SCI can still father children, particularly with medical interventions.
Women's fertility is not usually affected, although precautions must be taken for safe pregnancy and delivery. People with SCI need to take measures during sexual activity to deal with SCI effects such as weakness and movement limitations, and to avoid injuries such as skin damage in areas of reduced sensation. Education and counseling about sexuality is an important part of SCI rehabilitation but is often missing or insufficient.
Rehabilitation for children and adolescents aims to promote healthy development of sexuality and includes education for them and their families. Culturally inherited biases and stereotypes negatively affect people with SCI, particularly when held by professional caregivers. Body image and other insecurities affect sexual function, and have profound repercussions on self-esteem and self-concept. SCI causes difficulties in romantic partnerships, due to problems with sexual function and to other Eliot wolf wife sexual dysfunction introduced by the injury and disability, but many of those with SCI have fulfilling relationships and marriages.
Relationships, self-esteem, and reproductive ability are all aspects of sexualitywhich encompasses not just sexual practices but a complex array of factors: Sexuality is an important part of each person's identity, although some people might have no interest in sex. Sexuality has biological, psychological, emotional, spiritual, social, and cultural aspects. SCI is extremely disruptive to sexuality, and it most frequently happens to young people, who are at a peak in their sexual and reproductive lives.
SCI usually causes sexual dysfunction,  due to problems with sensation and the body's arousal responses. The ability to experience sexual pleasure and orgasm are among the top priorities for sexual rehabilitation among injured people. Much research has been done into erection. Common problems women experience post-SCI are pain with intercourse and difficulty achieving orgasm.
The severity of the injury is an important aspect in determining how much sexual function returns as a person recovers. In people with incomplete injury, some or all of the spinal tracts involved in Eliot wolf wife sexual dysfunction responses remain intact, allowing, for example, orgasms like those of uninjured people.
Even people with complete SCI, in whom the spinal cord cannot transmit any messages past the level of the lesion, can achieve orgasm. In addition to completeness of injury, the location of damage on the spinal cord influences how much sexual function is retained or regained after injury. All dermatomes below the level of injury to the spinal cord may lose sensation. An injury at a lower point on the spine does not necessarily mean better sexual function; for example, people with injuries Eliot wolf wife sexual dysfunction the sacral region are less likely to be able to orgasm than those with injuries higher on the spine.
The body's physical arousal response vaginal lubrication and engorgement of the clitoris in women and erection in men occurs due to two separate pathways which normally work together: The reflexogenic pathway activates the parasympathetic nervous system in response to the sensation of touch.
Most people with SCI have problems with the body's physical arousal response. Secondary dysfunction results from factors that follow from the injury, such as loss of bladder and bowel control or impaired movement. Tertiary sexual dysfunction results from psychological and social factors. SCI often affects body image, either due to the host of changes in the body that affect appearance e.
Men with SCI rank the ability to father children among their highest concerns relating to sexuality. Most men have a normal sperm countbut a high proportion of sperm are abnormal; they are less motile and do not survive as well. The numbers of women with SCI giving birth and having healthy babies are increasing. Pregnancy is associated with greater-than-normal risks in women with SCI,  among them "Eliot wolf wife sexual dysfunction" risk of deep vein thrombosis respiratory infectionand urinary tract infection.
Although erections are not necessary for satisfying sexual encounters, many men see them as important, and treating erectile dysfunction improves their relationships and quality of life. To use a pump, the man inserts his penis into a cylinder, then pumps it to create a vacuum which draws blood into the penis, making it erect. If oral medications and mechanical treatments fail, the second choice is local injections: For example, men who experience erectile problems as the result of a testosterone deficiency can receive androgen replacement therapy.
Compared with the options available for treating sexual dysfunction in men for whom results are concretely observablethose available for women are limited. Counseling about sex and sexuality by medical professionals, psychologistssocial workers and nurses is a part of most SCI rehabilitation programs.
Many SCI patients have received misinformation about the effects of their injury on their sexual function and benefit from education about it. A person's experience in managing sexuality after the injury relies not only on physical factors like severity and level of the injury, but on aspects of life circumstances and personality such as sexual experience and attitudes about sex.
As well as the patient, the partner of an injured person frequently needs support and counseling.
Not only does SCI present children and adolescents with many of the same difficulties adults face, it affects the development of their sexuality. People make a variety of sexual adaptations to help adjust to SCI. They often change their sexual practices, moving away from genital stimulation intercourse  and toward greater emphasis on touching above the level of injury and other aspects of intimacy such as kissing and caressing.
Adjusting to post-injury changes in the body's sensation is difficult enough to cause some to give up on the idea of satisfying sex at first. Tests exist to measure how much sensation a person has retained in the genitals after an injury, which are used to tailor treatment or rehabilitation.
SCI presents extra needs to consider for sexual activity; for example muscle weakness and movement limitations restrict options for positioning.
Another consideration is loss of sensation, which puts people at risk for wounds such as pressure sores and injuries that could become worse before being noticed. Eliot wolf wife sexual dysfunction risk is autonomic dysreflexia ADa medical emergency involving dangerously high blood pressure.
A concern for sexual activity that is not dangerous but that can be upsetting for both partners is bladder or bowel leakage to urinary or fecal incontinence. Birth control is another consideration: Intrauterine devices could have dangerous complications that could go undetected if sensation is reduced. In the first months after an injury, people commonly prioritize other aspects of rehabilitation over sexual matters, but in the long term, adjustment to life with SCI necessitates addressing sexuality.
A catastrophic injury such as SCI puts strain on marriages and other romantic relationships, which in turn has important implications for quality of life. Partners of injured people often feel out of control, overwhelmed, angry, and guilty while having added work related to the injury, less help with responsibilities like parenting, and loss of wages.
People are often as concerned about failing to keep a partner satisfied as they are about meeting their own sexual needs. Eliot wolf wife sexual dysfunction
Although with sexual function that result from SCI play a part in some divorces, they are not as important as emotional maturity in determining the success of a marriage. Despite the stresses that SCI places on people and relationships, studies have shown that people with SCI are able to have happy and fulfilling romantic relationships and marriages, and to raise well-adjusted children.
For those who are single when injured or who become single, SCI causes difficulties and insecurities with respect to one's ability to meet new partners  and start relationships. Isolation and its Eliot wolf wife sexual dysfunction risk of depression can be limited by participating in physical activities, social gatherings, clubs, and online chat and dating. Negative societal attitudes and stereotypes about people with disabilities like SCI affect interpersonal interactions and self-image, with important implications for quality of life.
In fact, for women, psychological factors have a more important impact on sexual adjustment and activity than physical ones.
Cultural attitudes toward gender roles have profound effects on people with SCI.
From Wikipedia, the free encyclopedia. The effects of injury depend on the level along the spinal column. A dermatome is an area of the skin that sends sensory messages to a specific spinal nerve.
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Handbook of Clinical Neurology. Neurology of Sexual and Bladder Disorders. The Eliot wolf wife sexual dysfunction of Sexual Medicine. Broad-based clinical practice intervention and practical application". The Journal of Spinal Cord Medicine. Nursing Clinics of North America.