Even though mobility and sensation may be affected following SCI, many couples are able to adjust their lovemaking to the new circumstances and resume a satisfying sex life. She may find it difficult to manipulate diaphragms, cervical caps, female condoms, and contraceptive sponges. Levonorgestrol implants surgically placed under the skin of the arm can be used as a long-term contraceptive method. The male condom also may be an appropriate choice of contraception. Fertility in men with SCI is often affected by ejaculation problems, lower sperm count, and decreased sperm motility.
Several techniques are available for harvesting semen from men unable to ejaculate.
Women with SCI who wish to become pregnant should discuss the potential problems associated with pregnancy and their management with their gynecologist. Many women with SCI have been able to have children. Many people with SCI benefit from attending support groups . Human sexuality and its problems. Drugs that affect sexual function.