The effect of various spinal lesions on female sexual response has recently
been investigated in detail. Studies of women with neurologic disabilities
and studies of animal models have provided substantial information regardi
ng the spinal control of sexual responses. In this report, the authors expl
ore findings regarding the neurologic pathways underlying the spinal contro
l of sexual arousal and orgasm. Information available about the effects of
multiple sclerosis and various cerebral disorders on female sexual function
will also be reviewed, with special attention to areas where further resea
rch is needed. Lastly, the current status and techniques available to impro
ve the sexual functioning of women with neurologic disabilities affecting t
he central nervous system will be reviewed.