LIVING WITH SPINAL CORD INJURY: BIRTH CONTROL
Both men and women with spinal cord injury who are sexually active and do not want a pregnancy must use a birth control method, even if you think ejaculation is unlikely. Keep in mind that erection and ejaculation are separate functions. Some men with paraplegia can ejaculate despite the lack of erection or sensation of orgasm. Therefore, if you are having sex and wish to avoid pregnancy, birth control is essential.All birth control options available to able-bodied people are possible for people with spinal cord injury. Birth control pills and intrauterine devices have the advantage of greater effectiveness in preventing pregnancy, but may have higher medical risks for women with spinal cord injury. Barrier methods such as the diaphragm and condoms have the advantage of also protecting against sexually transmitted diseases, but they may be difficult to use because of mobility impairments. Permanent contraceptive methods such as tubal ligation or vasectomy are an option for individuals or couples who are sure they do not want children. The best way to decide on the method that is right for you is to consult your doctor. Together you can explore the options and weigh the risks and benefits of each type of contraception.
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