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Sexual functioning in the spinal cord injured.

This article reviews current knowledge about the impact of SCI on male and female sexual responses including erectile function, lubrication ejaculation and orgasm. The ability to achieve erection, lubrication and ejaculation can be described based upon the degree and type of neurologic injury affecting the sacral spinal segments. The ability of SCI individuals to achieve orgasm has not been found to be based upon the type of degree of neurologic injury. The implications of these findings to increase our understanding of human sexual neurophysiology is also discussed.