Spinal Cord Injury, Tarlov Cysts, and Sexuality: Male vs. Female Differences
Sexual function is shaped by a combination of neurological pathways, vascular responses, hormones, and psychological factors. When conditions such as This section focuses specifically on sex-based differences in function, dysfunction, and adaptation . Male Sexual Function: Key Impacts 1. Arousal and Erection In men, sexual function is highly dependent on intact neurological signaling for erections. After Spinal Cord Injury Reflexogenic erections (touch-based) Often preserved if injury is above T11 Psychogenic erections (mental arousal) Often impaired or absent Difficulty maintaining erections is common With Tarlov Cysts (Sacral Compression) Disruption of S2–S4 nerves can impair: Erectile rigidity Sensory feedback from the penis May feel erections as weaker, numb, or painful 2. Ejaculation and Fertility This is one of the most significantly affected areas in men. Common Issues Anejaculation (inability to ejaculate) Retrograde ejaculation (semen enters bla...