How does SCI affect sexuality and fertility?
Although SCI frequently affects sexual functioning, there are many therapies that allow people with SCI to have an active and satisfying sex life. In general, experts encourage each person to determine his/her level of function by learning how their own body and mind react in certain situations. Complete and open communication and exploration between partners is recommended. Fertility is frequently affected in men with SCI. There are two causes of this infertility: poor semen quality and ejaculatory dysfunction. The problem with ejaculatory dysfunction has largely been solved with use of electroejaculation. However, poor semen quality, particularly sperm motility, is an unresolved problem. It is generally accepted that a significant number of SCI men have abnormalities of spermatogenesis as well. Methods similar to those used for non-disabled men with fertility problems have allowed many men with SCI to father their own children. Adoption is another option. The fertility of women with
