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Question:
I am a t3/4 complete paraplegic male resulting from a MVA 12 years ago. I have discovered just recently with the use of Viagra and a persistence lady friend that I could ejaculate. This was a little painful but I was very pleased and very surprised. I have since discovered I can almost achieve this at will through masturbation but sometimes get dysreflexia, tight chested, headache. I realise this can be dangerous but seems to subside quickly enough upon stopping stimulation. Is there something I can do to prevent this from happening when I least want it, during sex?
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Answer:
by Hussein Ghanem: (05/29/2004)
Ejaculation is preserved in around 20% of men with spinal cord injury. Autonomic dysreflexia is common in patients with injuries above T5 undergoing chemical ejaculation. The main potential risk with dysreflexia is a hypertensive crisis. Cardiovascular monitoring and treatment with vasodilators may be indicated. On the other hand, dysreflexia is less common and less severe with vibratory stimulation and direct sexual stimulation. You should see a neurologist to assess your general condition and determine the need for medications during sexual activity.Reviewed by Sexual Health Editorial Team
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