Sex classification and expectations among quadriplegics and paraplegics

Abstract

The author uses a somatic classification for sex among these patients. It is similar to the classification he uses for the neurogenic bladder and bowel. Four categories are used: Reflex Complete Sex, Reflex Incomplete Sex, Areflexic Complete Sex, and Areflexic Incomplete Sex.

Ninety percent of the males diagnosed as having Reflex Complete Sex will have reflexogenic erections: 70 percent of this group will be able to have successful coitus with gratification for the partner; the majority will not be able to ejaculate or have an orgasm. Psychogenic erections and the ability to ejaculate are not the rule in this category but exceptions will occur.

Ninety-eight percent of the males diagnosed as having Reflex Incomplete Sex will have some type of erection: 83 percent of these patients will have successful coitus. Forty-five percent will have psychogenic erections. Of those who can have successful coitus, about 36 percent will be able to ejaculate.

The majority of males diagnosed as having Areflexic Complete Sex do not have erections of any type; they are unable to have coitus, ejaculate, or have an orgasm. Twenty-seven percent can attain psychogenic erections; the success rate of those who attempted coitus ranged from 24 percent to 50 percent. The range of those who could ejaculate ranged from 19 percent to 35 percent.

In the Areflexic Incomplete group, 83 percent had psychogenic erections; of those who attempted coitus, 75 percent were successful, and 56 percent were able to ejaculate and have an orgasm.

The ability to have orgasms among the females is dependent on the status of sensation present in the clitoris, labia, and nipples. Fantasy can play a great role. The potential to bear children is good, since the majority will have a return of the menses.