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Wheelchair sex and the ability to develop sexuality, participate in sexual activity, and maintain long term intimate relations is desired as much by people with a disability as in the general population.The majority of spinal cord injury wheelchair users are 15 to 45 years of age so sex and fertility often become an important issue.Women with an IDC can also leave a catheter in during sex unless it causes problems.

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Not only can unpredictable erections cause embarrassing situations during sexual intimacy but for wheelchair users in public (being void of sensation below the level of injury) unaware they have an erection.

Attempted penetration of the vagina by any means may trigger adductor and pelvic floor muscle spasm. It has been reported that 53 percent of women have experienced orgasm after spinal cord injury.

The introduction of oral medications Viagra and Ciallis have largely replaced their intracavernosal predecessors.

Care should be taken not to pull on a catheter during sex but don’t let it spoil enjoyment.

If either wheelchair sex partner (or soloist) has major concern about a catheter for medical or aesthetic reasons tape it and any tubing to the body prior to love making.

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