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Women with complete injuries can achieve sexual arousal and orgasm through stimulation of the clitoris, cervix, or vagina, which are each innervated by different nerve pathways, which suggests that even if SCI interferes with one area, function might be preserved in others.In both injured and uninjured people, the brain is responsible for the way sensations of climax are perceived: the qualitative experiences associated with climax are modulated by the brain, rather than a specific area of the body.The location of injury to the spinal cord maps to the body, and the area of skin innervated by a specific spinal nerve, is called a dermatome.All dermatomes below the level of injury to the spinal cord may lose sensation.Although male fertility is reduced, many men with SCI can still father children, particularly with medical interventions.

Sexuality is an important part of each person's identity, although some people might have no interest in sex.In people with incomplete injury, some or all of the spinal tracts involved in sexual responses remain intact, allowing, for example, orgasms like those of uninjured people.In 1960, in one of the earliest studies to look at orgasm and SCI, the term phantom orgasm was coined to describe women's perception of orgasmic sensations despite SCI—but subsequent studies have suggested the experience is not merely psychological.Neural plasticity may account for increases in sensitivity in parts of the body that have not lost sensation, so people often find newly sensitive erotic areas of the skin in erogenous zones or near borders between areas of preserved and lost sensation.Drugs, devices, surgery, and other interventions exist to help men achieve erection and ejaculation.

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