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It’s unfortunate, but there are instances in life that may cause injury to the spine resulting in incomplete or complete paralysis, and for men who seek to continue to maintain a full and healthy sex life this type of injury can be crushing to his ego and self-esteem.

Erectile dysfunction (ED) is a common issue for men living with paralysis depending upon the extent of injury and its location. Men suffering with incomplete injury at a low level are more likely to have psychogenetic erections (erections caused by sexual thoughts or visual stimuli) than men with high-level, incomplete injuries.

However, men with complete injuries are less likely to become erect from sexual thoughts or visuals. Most men living with paralysis are able to experience reflex erections (erections caused by direct stimulation of the penis or erogenous zones such as the neck, nipples or ears) as long as the sacral segment of the spine isn’t damaged.

The ability to “keep it up” during sex is a key component for mutual sexual satisfaction during intercourse and there are solutions to help combat ED, as well as build upon intimacy and self-esteem while living with paralysis.  Here are a few ways to keep the fire burning after paralysis.

Foreplay

Kissing, caressing erogenous zones (neck, ears, nipples) and engaging in oral sex are all ways to increase intimacy during the sexual experience while encouraging an erection. Communicating during the process and learning what feels good and what doesn’t work as well and help in building a technique that will satisfy overtime.

Use a penis pump

Although many men living with paralysis have the ability to become erect from direct stimulation of the penis, it can become difficult to maintain hardness in order to complete a full sexual experience.  To combat a fleeting erection, a vacuum pump can be used to draw more blood into the penis and a cock ring can be placed at the base of the shaft to further maintain the erection.

Sex After Paralysis: How To Keep The Fire Burning  was originally published on blackdoctor.org

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