Expert Q & A Answers About quad orgasm

I’m a quad woman and I’ve only been able to have an orgasm from manual stimulation. Am I missing something?

I’m a woman and – due to muscular dystrophy – I’m a quadriplegic who uses a ventilator. I’ve also had a hysterectomy. Both of these changes came before I started sexual activity…so I can’t compare “before” and “after.” I’ve only ever had an orgasm from manual stimulation instead of intercourse. That’s great, but am I missing something?