Skip to main content

Sexual Function in Men after Spinal Cord Injury

Medically reviewed by Drugs.com. Last updated on Mar 3, 2024.

Is it possible to be sexually active after a spinal cord injury?

Your sexual response will depend on the location and severity of your spinal cord injury (SCI). You will need to make changes, but you can still have a fulfilling sex life. You may be able to have an erection but unable to keep it long enough for sexual activity. This is called erectile dysfunction (ED).

How is ED treated?

Can I still get my partner pregnant after an SCI?

You may have problems with ejaculation and problems with sperm motility (movement). Many men are not able to ejaculate during intercourse, or they have retrograde ejaculation. Retrograde ejaculation is a condition that causes sperm to travel backwards into the bladder instead of through the urethra. An SCI does not affect the amount of sperm you have, but your sperm may move slower. Artificial insemination can be used to get your partner pregnant. Ask your healthcare provider for more information about artificial insemination.

What do I need to know about bladder or bowel control during sexual activity?

If you do not have control of your bowel or bladder, you may worry about having an accident during sexual activity. You can try to avoid an accident by closely following your regular bowel and bladder program. Plan your sexual activity after you perform your regular bowel and bladder program. Healthcare providers may suggest that you avoid drinking liquids for 1 to 2 hours before sexual activity. If you have a urinary catheter, you must remove the catheter to prevent the catheter balloon from moving. Movement of the catheter balloon could cause an injury.

When should I contact my healthcare provider?

Seek care immediately if:

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

© Copyright Merative 2024 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes.

Learn more about Sexual Function after Spinal Cord Injury

Treatment options

Care guides

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.