Spinal Cord Injury And Erectile Dysfunction
Spinal cord injury occurs mostly in young men due to some traumatic event leading to negative physical health, social movement and psychological disposition.
Erectile dysfunction which is defined as inability to achieve or maintain erection for satisfactory sexual performance is a common complication present incase of spinal cord injury patient. Only 25 percent of the men post spinal cord injuries tend to have erections normally like they used to.
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Several men post spinal cord injury tend to have complications with sexual performance.
In addition to these changes, it will also lead to emotional issues that often affect their overall sexuality.
Erections are triggered by psychogenic and reflex process. Psychogenic stimulus comes from the brain sexual thoughts or things related to sex trigger erection. Because of this stimulation the brain will sent impulses to nerves of the spinal cord down to the T10- L2 levels and these are passed on to the penis and trigger an erection. During reflex erection direct physical contact to penis or ears, nipples or neck tend to cause erection. This is a kind of involuntary process where there is no thoughts that are sexually provoking. The nerves controlling the reflex erection are the S2- S4.
Spinal cord injury that is not accompanied by nerve damage does not cause complications in erection and such men tend to continue with reflex erection, ideally because the nerves are not damaged.
Men with lesser injuries also manage with psychogenic erection; however, those with high level of injuries tend to experience problems of some sort. Erectile dysfunction is common with newly injured person or it can also show up after sometime. It is very important for partners to understand the complexity after injury and to work out their life smoothly thereafter without causing any kind of depression.
