What Level of Spinal Cord Injury Leads to Erectile Dysfunction?

March 5, 2022
Fact-checked by Dr. Avidon Appel
What Level of Spinal Cord Injury Leads to Erectile Dysfunction

It is a well-known fact that spinal cord injuries can lead to a wide range of physical and emotional difficulties. Less well known, however, is the fact that these injuries can also lead to erectile dysfunction. This article will explore the link between spinal cord injury and erectile dysfunction, as well as the possible treatments for the condition when it's caused that way.

What is Erectile Dysfunction?

Erectile dysfunction, also called impotence or ED, is a condition in which a man cannot get or keep an erection firm enough for sexual intercourse. There are many potential causes of erectile dysfunction, including physical and psychological ones. Physical factors that can contribute to ED include:

  • Diabetes

  • Heart disease

  • High blood pressure

  • Smoking

  • Obesity

  • Neurological conditions such as Multiple Sclerosis or Parkinson's Disease

Psychological factors that can contribute to ED include:

  • Stress

  • Anxiety

  • Depression

  • Low self-esteem

Symptoms of Erectile Dysfunction Caused by Spinal Cord Injury

Some symptoms of erectile dysfunction caused by spinal cord injury include: limited or no ability to have an erection, difficulty achieving orgasm, and a decrease in sexual desire. These symptoms can be frustrating and can cause a decrease in the quality of life for those affected. It is important to seek medical help if you are experiencing any of these symptoms, as they can often be treated.

What Causes Erectile Dysfunction in Men with Spinal Cord Injuries?

Erectile dysfunction is a common complication in men with spinal cord injuries. The injury can damage the nerves and blood vessels that are responsible for them getting and maintaining an erection. This can lead to difficulty achieving or sustaining an erection sufficient for sexual intercourse. There are several factors that can contribute to erectile dysfunction in men with spinal cord injuries. These include:

  • Damage to the spinal cord itself

  • Injury to the autonomic nervous system, which controls the blood vessels and muscles involved in getting an erection

  • Damage to the nerve fibers that carry signals from the brain to the penis

  • Changes in hormone levels after a spinal cord injury

  • Psychological factors such as depression or anxiety

The type of spinal cord injury is also a factor in the development of erectile dysfunction. Men with more serious spinal injuries are more likely to experience problems than those with lower-level spinal injuries. This is because damage to the higher spinal cord can affect the nerves and muscles involved in getting an erection.

What is the Prognosis for Men with ED Caused by Spinal Cord Injury?

The prognosis for men with erectile dysfunction caused by spinal cord injury will depend on the severity of their injuries. In some cases, men may experience a complete or partial loss of sexual function, while in others they may be able to regain some function. There is no one-size-fits-all answer to this question, and each case should be evaluated on an individual basis. There are a variety of treatments available for men with erectile dysfunction caused by spinal cord injuries. These include:

  • Medications such as phosphodiesterase type 5 inhibitors (such as sildenafil, tadalafil, and vardenafil) or penile injections of alprostadil

  • Vacuum pumps

  • Penile implants

Each man's situation is different, so it is important to work with a healthcare provider to find the best treatment option for you.

Conclusion

Spinal cord injury can lead to erectile dysfunction, which is a common complication in men with spinal injuries. The prognosis for patients depends on the severity of their injuries. Some may experience complete loss of sexual function while others might regain some function. There are many treatments available, so it's important to work closely with a healthcare provider to find the best option for you.


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March 5, 2022

Written By
Dr. Avidon Appel

Fact-checked By
Dr. Avidon Appel

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About Author

Dr. Avidon Appel is the founder of Iron Mountain Men’s Health. He is an Internal Medicine Specialist based in Willow Grove, PA who specializes in men’s sexual health and hormone optimization and has over 19 years of experience in the medical field. He is a graduate of Philadelphia College of Osteopathic Medicine, as well as Saint Joseph’s University.

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