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Question:
i thought ejaculation was a spinal reflex, when i have sex, it feels great but i dont orgasm or ejaculate, how can this be?
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Answer:
by Linda Mona: (05/23/2004)
Hi arron!
An estimated 80-90% of people with spinal cord injuries experience some level of sexual difficulties. Having problems with ejaculation, is not uncommon.
Ejaculation is a two-stage process including emission and propulsion. Emission is controlled primarily by nerves exiting the spine at T11 and Tl2 and propulsion is primarily controlled by nerves exiting the lower spine at S2 to S4. The combined process of emission and propulsion is a complex neurological reflex causing the seminal vesicles and prostate gland to contract and squeeze their fluids into the urethra which in turn triggers rhythmic contractions of muscles along the penis.
You say that it feels good to be sexual which I'm glad to hear. Sexual expression after spinal cord injury is going to be different. People who can't experience ejaculation or orgasm often talk about how much they miss this experience. They also speak about investigating new ways to be sexual--finding other parts of their body that feel great when touched, etc.
Practice touching (or having your partner touch)different parts of your body to see what feels erotic. Include your penis and genital area. Also, try using a vibrator on your penis (under the head) to see how this enhances your sexual experience. While it may be difficult to imagine your sexual routine without ejaculation and orgasm, it does not mean that you can't enjoy a very satisfying sex life.
Good luck!
Dr. MonaReviewed by Sexual Health Editorial Team
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