Hamilton Sexuality After Spinal Cord Injury Lawyers

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Spinal cord injuries often cause sexual problems, but people with spinal cord injuries can have satisfying sex lives.

In the first months following a spinal cord injury, it is natural for victims to be focused on physical and psychological recovery and rehabilitation. However, coming to terms with sexuality after a spinal cord injury is an important step toward making a healthy adjustment to your new life. Sexual expression is a fundamental part of being human and an important component of our identity as men and women.

A quick Summary from Hamilton spinal cord injury lawyers:

After spinal cord injury, people have a choice to be sexually active or not. As such, it’s important that you have information about sexuality and the emotional support to make that decision.

Human sexuality is complicated; it encompasses not only sexual drive and desire but also:

• interpersonal relations
• intimacy
• self-understanding
• self-understanding about body image, and
• sexual function and behaviours.

For many, the possibility that disabled people might have sex seems questionable. As a result of this lack of knowledge, paralyzed individuals are often assumed to be non-sexual.

Spinal cord injuries affect a person’s sexuality, but it does not need to end it.

Yet, while a spinal cord injury does affect a person’s sexuality, it does not need to end it. Sexual expression is a natural and vital part of human life, whether or not a person can walk. Despite the changes in physical function, the emotional aspects of sexuality continue to be as important for disabled people as for anybody else.

There’s no doubt that spinal cord injuries give rise to multiple comorbidities that not only affect an SCI victim’s physical and psychological functions but also cause detrimental psychological consequences and sexual dysfunction. The extent of sexual dysfunction is influenced by the severity of the neurologic lesion (where the spinal cord injury occurred), the presence of bladder and bowel problems, pain and spasticity, and difficulties with interpersonal and social relationships.

Impaired sensitivity of the genitals contributed to the lower popularity of non-coital sexual activity in women. In addition, issues with muscle movement, impaired sense of feeling, and the loss of natural sexual reflexes often happen after spinal cord injury. How your physical loss affects arousal, orgasm, and fertility naturally depends on your level of injury and whether your injury is a complete or incomplete spinal cord injury.

Victims of spinal cord injury (SCI) always have questions about their sexuality, and these questions cannot be ignored. Early after injury, people with SCI often ask questions about their attractiveness, relationships, and ability to conceive and possibly have children. As a result, many clinicians understand the importance of discussing these issues.

How does a spinal cord injury affect sexuality?

In technical terms, spinal cord injury affects sexual ability as a result of the physiological changes caused by damage to particular nerve pathways. It is the location or the level of injury on the spinal cord that is the primary determinant of sexual functioning and whether the injury is complete or incomplete.

This may mean diminished genital sensation, loss of adequate erections or the ability to ejaculate for men, and decreased lubrication in women. In addition, reduced muscle strength and involuntary spasms may affect a person’s positioning and movement during sexual activity. Depending on the extent and location of the neurological damage, sexual function will vary.

Yet, no matter the level of paralysis, all people with SCI will be capable of feeling physical attraction, excitement, desire, and love. They remain just as “sexual” as anyone else, maintaining the potential for intimacy and romantic fulfillment.

Before an individual with SCI begins to rediscover his or her sexuality, it is important to keep in mind that sensuality and personal expression are as vital to fulfillment as the sexual act itself. The focus should be on the process, not just the outcome.

Accordingly, the way someone feels about his or her sexuality and overall body image is crucial. This is a significant hurdle for most people in the first months post-injury. Their bodies have been frustrating, damaged, aged, tested and measured. All the hospital procedures and the need for help with personal care can result in a complete loss of privacy and a sense of being sexless.

It is no wonder, then, that in the early days, people coping with paralysis often admit to feeling less than desirable. Nonetheless, before someone can be intimate with another human being, that person must first view him- or herself as acceptable – which may take time and therapeutic intervention.

SCI and the Psychology of Sexuality

Generally, sexual activity declines after a spinal cord injury, often due to diminished biological sequelae of an SCI. While the need for sexual intimacy remains for most, studies suggest that issues such as relationship factors, relationship quality, partner satisfaction and overall independence play a part in the difficulties that some people with spinal cord injuries face.

Also, and understandably, the concern about not satisfying one’s partner consistently seems to be an issue among many spinal cord injury victims. Together, these significant combined issues can lead to physical and emotional isolation, placing the spinal cord injury victim at risk for social and psychological withdrawal and depression.

Remember, a spinal cord injury will not take away the ability to have a relationship, experience love, and experience attraction between two people. There may be some difficulties with sexuality – as some people with spinal cord injuries will have a disability in sexual relations because of the restriction or lack of ability to perform a sexual activity in the manner considered normal – but these challenges are insurmountable.

It’s important that spinal cord injury victims seek proper psychological assistance and counselling, and perhaps couples counselling, at some point after their return home.

It’s been said in medical studies that sexuality education is often poorly integrated into the rehabilitation process – but the opportunity to further one’s knowledge about sexuality in general after a spinal cord injury should remain a crucial component of the process. Applied education, as well as psychological therapy to address sexuality with oneself and with others, will no doubt enhance the overall rehabilitation outcome.

Proper psychological therapy will help SCI victims regain confidence in themselves, in their ability to experience and give pleasure, and in their ability to experience intimacy and affection.

Can you have children after an SCI?

Fertility and Reproduction After a Spinal Cord Injury is undoubtedly an important thing to understand after an SCI. Fertility refers to when a woman becomes pregnant when semen fertilizes an egg.  Even more important to understand is that having a spinal cord injury doesn’t affect your ability to become pregnant or carry/deliver a baby, so deciding to have a baby is made in much the same way as anyone else.

However, pregnancy in female spinal cord injury victims is almost always considered a high-risk pregnancy. Many risks associated with this scenario can affect the mother’s well-being and health. Some of these risks include:

• Urinary tract infection
• Hypotension
• Pressure ulcers or sores
• Premature labour
• Muscle spasms
• Digestive issues
• Skin issues

A female with a spinal cord injury can conceive and give birth, normally through cesarean section. A spinal cord injury generally does not affect a female’s fertility levels. However, this process will require significant support from a healthcare professional and regular medical exams. Typically, after 28 weeks, these exams should occur weekly to allow the professional to observe the cervix dilation.

For male spinal cord injury victims, reproduction could be affected in the form of a lower sperm count or a higher number of dead sperm cells. If the injured is experiencing ED but is interested in reproduction, a healthcare professional can stimulate ejaculation using specific in-clinic techniques. If this does not work, in-vitro fertilization or artificial insemination could be options.

A great resource for spinal injury victims and fertility is the websites lookingglass.org and  disabledparent.net.

Another vital source of great information can be found via SCI Ontario. You can read more about spinal cord injury and sexuality here.

Treatments for Sexuality after a Spinal Cord Injury

There are treatments available that could help spinal cord injury victims recover their sexuality and their ability to experience sexual activity. Additionally, these treatments could assist individuals who are looking to reproduce.

• ED medication in the form of pills or tablets
• Injections: A doctor may prescribe an injection that goes into the side of the penis and allows it to become erect. When this is prescribed, the doctor will instruct the individual to be able to administer these injections at home independently.
• Vacuum pumps: During this process, the penis is inserted into a cylinder. Then, air is pumped out of the cylinder, which causes the penis to become erect. Once it has become erect, the individual will then place a ring on the base of the penis, which will allow him to maintain the erection.
• Surgery: There are also some surgeries available to assist in recovering sexuality after a spinal cord injury. Usually, this surgery will involve inserting an implant into the penis permanently, which can help in obtaining an erection but can also cause complications in some individuals.

A Hamilton spinal cord injury lawyer can help you recover the compensation you need to pay for ongoing therapy.

There’s no doubt that the complex, lifelong needs of a spinal cord injury victim must be accurately projected over his or her life expectancy. It’s vital that, as a part of any life care plan for spinal cord injury victims, proper psychological funding is sought on a long-term or periodically, depending upon the needs of the person.

At Lalande Personal Injury Lawyers, we take pride in being trusted Hamilton personal injury lawyers since 2003. Over the years, we’ve helped our clients recover more than $45 Million in settlements and verdicts in personal injury, disability, and employment law cases. Whether you’re dealing with a life-changing injury, a denied disability claim, wrongful death, a hurt child or employment termination, we are here to provide compassionate and experienced legal representation. If you believe you have a case, call us today—we’re ready to help you secure the compensation you deserve.

Call Lalande Personal Injury Lawyers today, no matter where you are in Ontario at 905-333-8888 for your free consultation. Alternatively, you can contact us online, confidentially, by filling out a contact form.

*This information has been obtained from our experience and knowledge of spinal cord injury law as well as Medical Peer Reviewed Journals and Medical Studies from SCIRE (Spinal Cord Injury Research Evidence)