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If a sphincterectomy has been performed reflex and psychogenic erections are rarely possible.Difficulties with erections may eventually be experienced by nearly half of men with Multiple Sclerosis (MS) caused by lesions of the thoracic spine and autonomic nerves.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.

A sleeve of soft material slipped over the catheter and or tubing may avoid blistering.Swallowing a pill has much less shock value than injecting and massaging meds into the penis.While both methods can help sustain an erection, the ability to achieve some form of erection in the first place, is most desirable.For a woman laying face up the erogenous zone is two to three inches inside the vagina and upward, called the G-spot.During wheelchair sex a womans G-spot might be more easily reached by sliding her hips up to the front edge of the wheelchair seat.

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