The amount of physical sexual function and ability to feel pleasure or pain sensation after a spinal cord injury depends on level and completeness.
In general, an incomplete spinal cord injury affects sexual function to a varying degree if at all, as opposed to complete where no function exists.
After a complete injury the ability to achieve erections, ejaculate, and father children can be greatly compromised.
For women complete or incomplete, following an initial absence of menstrual cycle, fertility is rarely impaired, though vaginal lubrication may be.
For men with incomplete spinal cord injuries involuntary motor and or sensory function still exists below the level of injury.
The ability to achieve a sustainable erection for wheelchair sex and reach orgasm is usually possible.
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.
I am one of the lucky quadriplegic wheelchair users who can get an erection simply by touch. In the interests of research for this wheelchair sex article of course.
I did not notice Viagra of any benefit to my usual sexual function.
Supra Pubic Catheter users are free to engage in wheelchair sex, intimacy and sexual intercourse anytime.
Usually high level quadriplegics cannot go without a catheter for long.
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.