Spinal cord injury and sexuality in married or partnered men: Activities, function, needs, and predictors of sexual adjustment

The sexual behaviors, functioning, needs, and sexual satisfaction levels of men with spinal cord injuries (SCI) were studied. A sample of 50 men with SCI (median age = 50; median age at injury = 25.0), either married or in a committed relationship, responded to an anonymous survey of a large souther n California regional spinal injury rehabilitation center Multiple regressi on analyses indicated that perceived partner satisfaction, relationship qua lity, and sexual desire were significant predictors of sexual satisfaction and behavior. Erectile function, level of genital sensation, and orgasmic c apacity all varied widely in the sample, as well. However, none of these va riables were significantly related to sexual satisfaction. A varied sexual repertoire was independently related to sexual satisfaction and behavior, b ut did not offer additional predictive power. Results suggest that for marr ied or partnered men with SCI, relationship factors including partner satis faction and relationship quality are significantly and positively related t o sexual satisfaction. Married or partnered men with SCI who report low rel ationship satisfaction, have difficulty satisfying their partner and/or rep ort low sexual desire may benefit from assessments and interventions that a ddress these issues.