Spinal Cord Injuries and Orgasm: A Review

University of Alabama, 19th St., S. Birmingham, AL 35249-7330, USA.
Journal of Sex and Marital Therapy (Impact Factor: 1.27). 02/2008; 34(4):308-24. DOI: 10.1080/00926230802096341
Source: PubMed


Definitions of orgasm remain varied, and physiologic markers have not been standardized or consistently applied. The occurrence of orgasm after spinal cord injury (SCI) has been documented for a number of years; however, in the recent past, the neurologic and autonomic correlates associated with orgasm after SCI have been investigated. In this article we review recent studies pertaining to the occurrence of orgasm after SCI. Laboratory-based assessments of orgasmic responsiveness of women and men with known levels and degrees of SCI have shown the effects of orgasm on peripheral autonomic responses and the effects of varying injury patterns on the ability to achieve orgasm. A spinal pattern generator has also been identified that mediates ejaculation in male rats and responses similar to orgasm in female rats. Taken together, these findings suggest that retraining reflexic orgasm through vibratory or other forms of neural stimulation may provide a means to remediate orgasmic dysfunction in persons with SCI.

1 Follower
14 Reads
  • [Show abstract] [Hide abstract]
    ABSTRACT: Summary form only given. In this work, for the first time, a regenerative wavelength routing switch has been constructed using tuneable lasers to implement regenerative wavelength conversion. Both laser and integrated laser amplifier components have been shown to allow combined wavelength conversion and regeneration. In this paper, a tunable SG-DBR laser is used to allow prototype testing of one input path to the switch. The laser has a broad tuning range of about 40 nm, the output wavelength being tuned by the selection of bias current to four different sections. A 16 × 16 AWG is then used to provide the full routing function. Q factor measurements as a function of received power show that for low received power where the S/N ratio is poor, a good improvement in the signal quality is achieved because of regeneration. An IPDR of about 10 dB has been demonstrated for the router.
    Lasers and Electro-Optics, 2002. CLEO '02. Technical Digest. Summaries of Papers Presented at the; 02/2002
  • [Show abstract] [Hide abstract]
    ABSTRACT: Seksualiteit en ziekte of handicap – gevoelsmatig is hier sprake van een tegenstelling. Associeert men lichamelijkheid in het kader van seksualiteit met ontspanning en plezier, in de context van een ziekte of handicap wordt het lichaam vaak vooral gezien als een bron van ongemakken en problemen. Vormt het gezonde lichaam in de thuissituatie de basis van alles wat eigen en privé is, in de medische situatie wordt het lichaam onteigend, zichtbaar en tastbaar gemaakt voor derden. Voor intimiteit is geen plaats.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Le diagnostic d’un syndrome de la queue-de-cheval (SQC) est défini par l’existence d’une atteinte urinaire et/ou anorectale ainsi qu’à des troubles sensitifs périnéaux. Ses conséquences sexuelles ne sont appréciées que tardivement, souvent en postopératoire, à distance de l’apparition des symptômes neurologiques et/ou urogénitaux. Les troubles sexuels dans les SQC sont peu documentés, mais leur fréquence est très importante chez l’homme autant que chez la femme. La présence de troubles sensitifs est une source importante d’insatisfaction dans le domaine sexuel, particulièrement chez les femmes. Chez l’homme, la diminution de l’orgasme et la dysfonction érectile sont les plaintes sexuelles les plus fréquemment rencontrés. Les troubles de l’éjaculation sont plus rares. Ces troubles sexuels sont très souvent associés à une symptomatologie urinaire. Chez la femme, les plaintes les plus fréquemment rencontrées sont une diminution, voire une perte de la lubrification, une importante diminution de la libido, ainsi que de la sensation orgasmique, mais un tableau douloureux local est fréquemment associé. Les troubles sexuels dans le SQC sont permanents et le plus souvent définitifs. Une prise en charge globale est nécessaire surtout dans une population qui garde le plus souvent un handicap moteur peu important et qui souhaite retrouver une sexualité. Cauda equina syndrome (CES) is diagnosed in cases of urinary and/or anorectal dysfunction accompanied by loss of sensation in the perineum. The effect on sexual function is not normally discovered until later, often during the postoperative period, some considerable time after the onset of neurological and/or urogenital symptoms. There are few reports concerning sexual problems in CES, yet they are very common in both men and women. Loss of feeling is a significant source of sexual dissatisfaction, particularly in women. The most frequent sexual disorders reported by men are reduction in orgasm and erectile dysfunction. Ejaculatory disorders are less common. Sexual problems are often accompanied by urinary symptoms. Women most often report reduced or absent lubrication and significantly diminished libido and orgasm, often associated with local pain. Sexual dysfunction in CES is permanent and often incurable. Aglobal approach to treatment is needed, particularly where the population suffers little motor disability and wishes to regain sexual function.
    Pelvi-périnéologie 09/2009; 4(3):191-195. DOI:10.1007/s11608-009-0249-6 · 0.03 Impact Factor
Show more