---
title: Male Fertility After a Spinal Cord Injury (Infographic)
description: Can men with spinal cord injuries have children? Learn the success rates of reproductive technology and other statistics about the fertility of men with SCI.
image: https://www.spinalcord.com/hubfs/Male-Fertility-Featured-Image.png
---

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# Male Fertility After a Spinal Cord Injury (Infographic)

 Author: [Spinal Cord Team](https://www.spinalcord.com/meet-our-authors)

 Publish Date: May 31, 2023

Can men with spinal cord injuries have children? Learn the success rates of reproductive technology and other statistics about the fertility of men with SCI.

A spinal cord injury can make it impossible for men to reproduce using traditional methods. However, [modern reproductive technology and medical procedures](https://www.spinalcord.com/blog/male-fertility-options-after-a-sci-the-latest) provide options for men with SCI who want to have children.

## Download the Infographics

![Male Fertility Statistics infographic](https://www.spinalcord.com/hs-fs/hubfs/Male%20Fertility.png?width=350)

Male Fertility Statistics Infographic

Download a printable PDF version of the Male Fertility Statistics Infographic or a PNG image to share online.

[Download PDF](https://www.spinalcord.com/hubfs/Male%20Fertility.pdf) [Download PNG](https://www.spinalcord.com/hubfs/Male%20Fertility.png)

![Semen Retrieval infographic](https://www.spinalcord.com/hs-fs/hubfs/Male%20Fertility%20-%20Semen%20Retrieval.png?width=350)

Semen Retrieval Methods Infographic

Download a printable PDF version of the Semen Retrieval Methods Infographic or a PNG image to share online.

[Download PDF](https://www.spinalcord.com/hubfs/Male%20Fertility%20-%20Semen%20Retrieval.pdf) [Download PNG](https://www.spinalcord.com/hubfs/Male%20Fertility%20-%20Semen%20Retrieval.png)

## How Paralysis Affects Male Sexual Reproduction

Spinal cord injuries can have a significant impact on [male sexual reproduction abilities](https://www.spinalcord.com/blog/male-fertility-after-a-spinal-cord-injury). SCI can interfere with the communication between the brain and the reproductive system, leading to erectile dysfunction, decreased sperm motility, and difficulty ejaculating.

These and other factors can make it challenging for men with paralysis to conceive a child through traditional methods. However, research shows encouraging possibilities for men with SCI who want to have children thanks to advancements in medical technology.

![Man in wheelchair and woman next to sperm and egg illustration.](https://www.spinalcord.com/hubfs/male-fertility-article-image-1.svg)

## Pregnancy Rate & Live Birth Rate Unaffected

Despite the challenges that men with spinal cord injuries face in terms of sexual reproduction, there is still hope for those who wish to have a child with their partner.

Even if semen retrieval is needed, the chances of pregnancy and live birth are comparable to those of non-disabled couples. The pregnancy rate for couples where the male partner has a spinal cord injury is 51%, with a 40% live birth rate.

These encouraging statistics show that parenthood is still a possibility for men with paralysis, and they can take comfort in knowing that their chances of success are similar to those of their non-disabled peers.

## Sperm Motility Affected by Catheter-Use

The average percent of motile sperm in men with a spinal cord injury is 20% compared to 70% in non-disabled men. The type of bladder management a person uses can affect their sperm motility differently. Those who opt for an indwelling catheter generally have the lowest motility rate, around 5%. Those who only intermittently cath will typically have a higher sperm motility rate, around 27%.

Download the Male Fertility Statistics infographic [to print (PDF)](https://www.spinalcord.com/hubfs/Male%20Fertility.pdf) or [to share (PNG)](https://www.spinalcord.com/hubfs/Male%20Fertility.png)

## Semen Retrieval Methods

Only 9% of men with paralysis can ejaculate via masturbation, so semen retrieval methods have been developed so that the semen can be used for in vitro fertilization. It's important to note that not all methods will work for everyone.

### Surgical Sperm Retrieval

Surgical sperm retrieval involves a minor surgical procedure to obtain sperm directly from the man's reproductive tract. This method is typically used when other methods are not successful.

### Penile Vibratory Stimulation (PVS)

Penile vibratory stimulation is another option that involves the use of a vibrator placed on the head of the penis to stimulate ejaculation. PVS successfully causes ejaculation in ~86% of men whose level of injury is T10 or above, but only ~17% of men whose level of injury is below T10.

### Electroejaculation (EEJ)

Electroejaculation is often used when PVS fails. A physician delivers electrical stimulation via a rectal probe to cause an ejaculation. Virtually all men with paralysis can ejaculate via electroejaculation.

### Prostate Massage

The physician pushes on the prostate gland and seminal vesicles to mechanically push sperm through the ejaculatory ducts and urethra. This method is less commonly used, but it can be effective for some men and carries less risk than surgical sperm retrieval.

Download the Semen Retrieval Methods infographic [to print (PDF)](https://www.spinalcord.com/hubfs/Male%20Fertility%20-%20Semen%20Retrieval.pdf) or [to share (PNG)](https://www.spinalcord.com/hubfs/Male%20Fertility%20-%20Semen%20Retrieval.png)

## Conclusion

Men with paralysis should discuss their options with their healthcare provider to determine the best course of action. While not all methods will work for everyone, there are options available that can help men with paralysis achieve their goal of fatherhood.

## References

Ibrahim, E., Lynne, C.M. and Brackett, N.L., [Male Fertility Following Spinal Cord Injury: An Update](https://pubmed.ncbi.nlm.nih.gov/26536656/). *Andrology* vol. 4,1 (2016)

Craig Hospital. [Male Fertility Following Spinal Cord Injury: A Guide For Patients](https://www.themiamiproject.org/wp-content/uploads/male-fertility-booklet-2010-lowres.pdf). (2010)

Craig Hospital. [Male Fertility after Spinal Cord Injury](https://craighospital.org/wp-content/uploads/sites/867.MaleFertilityAfterSCI.pdf). (2019)

**Topics:** Infographic

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### Spinal Cord Injury

- [Types of Spinal Cord Injuries](https://www.spinalcord.com/types-of-spinal-cord-injuries)
- [Secondary Complications](https://www.spinalcord.com/secondary-complications-after-sci-spinal-cord-injury)
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- [Legal Help](https://www.spinalcord.com/spinal-cord-injury-legal-help-get-a-lawyer)

### Brain Injury

- [Types of Brain Injuries](https://www.spinalcord.com/types-of-traumatic-brain-injury)
- [Causes](https://www.spinalcord.com/causes-of-traumatic-and-acquired-brain-injuries)
- [Symptoms](https://www.spinalcord.com/traumatic-brain-injury-tbi-symptoms)
- [Prognosis](https://www.spinalcord.com/brain-injury-prognosis-for-tbi-abi)
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- [Technology Advancements](https://www.spinalcord.com/sci-technology-advancements)
- [Prevention](https://www.spinalcord.com/spinal-cord-injury-prevention)

### Legal Options

- [Spinal Cord Injury Lawyer](https://www.spinalcord.com/spinal-cord-injury-lawyer)
- [Brain Injury Lawyer](https://www.spinalcord.com/brain-injury-lawyer)
- [Types of Personal Injury Claims](https://www.spinalcord.com/types-of-personal-injury-claims)
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- [Local Assistance](https://www.spinalcord.com/florida-personal-injury-claims)

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{
  "@context" : "http://schema.org",
  "@type" : "Article",
  "articleBody" : "The spinal cord is a vital part of the human body. As the vehicle responsible for carrying messages from the brain to the rest of the body and back again, even the smallest interference can be detrimental. Following a traumatic <A href=\"/spinal-cord-injury\" rel=\"noopener\" target=\"_blank\"><SPAN style=\"font-weight: 400;\">spinal cord injury</SPAN></A>, this bundle of nerves can become bruised, also known as <A href=\"//www.spinalcord.com/blog/contusion-vs.-concussion-understanding-the-difference\">a contusion.</A> Because of the nature of the nervous system, any interference can constitute a serious spinal contusion, but these facts will help you dissect all of the information from the medical professionals.</P>\n\n<H2><STRONG>What Is a Spinal Contusion?</STRONG></H2>\n<IMG src=\"https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=300&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg\" alt=\"Signs-of-a-spinal-contusion-title-image\" width=\"300\" style=\"width: 300px; float: right; margin: 0px 0px 10px 10px;\" srcset=\"https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=150&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 150w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=300&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 300w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=450&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 450w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=600&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 600w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=750&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 750w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=900&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 900w\" sizes=\"(max-width: 300px) 100vw, 300px\"/>\n<P>Much like any other bruise, a contusion can cause bleeding from local blood vessels and inflammation which, rather<I><SPAN style=\"font-weight: 400;\"> unlike</SPAN></I> bruises on other parts of the body, can have serious negative impacts on the spinal cord itself. Because the<A href=\"/blog/contusion-vs.-concussion-understanding-the-difference\" rel=\"noopener\" target=\"_blank\"> “blood must clot to stop the bleeding”</A>a bruise results from contusions also increase cardiovascular risks.</P>\n<P>For example, the swelling a contusion can cause will often disrupt nerve impulses that travel from the brain to the body through the spinal cord, and the severity of this will depend upon the level of injury. Unlike a concussion, a contusion would not cause unconsciousness or a ‘blackout’, but instead cause the patient to feel a numbness or tingling in the extremities.</P>\n<P>A contusion can cause spinal compression, which happens when there is pressure on the spinal cord. This can go on to cause an array of <A href=\"http://www.hopkinsmedicine.org/healthlibrary/conditions/nervous_system_disorders/spinal_cord_compression_134,13/\" rel=\"noopener\" target=\"_blank\">physical symptoms</A> such as loss of sensation in the feet, inability to use the hands and loss of sexual ability. It must be noted that not all contusions cause spinal compression, and not all spinal compression is caused by a contusion, although they do often connect this way.</P>\n<H2><STRONG>Warning Signs of a Serious Spinal Contusion to Watch For</STRONG></H2>\n<P>Firstly, doctors will try and establish what area or limb the injury has affected. Spinal contusions most often “affect the upper extremities bilaterally and also sometimes involve the lower extremities,” <A href=\"http://www.healio.com/orthopedics/journals/ortho/2012-1-35-1/%7B7b1ed5f6-d6ca-435e-b69a-dba8a6d7c3c0%7D/spinal-cord-contusions\" rel=\"noopener\" target=\"_blank\">according to Dr. Wong</A>, an orthopedic physician.</P>\n<P>Symptoms include “numbness, tingling, [or] electric shock-like sensations and burning in the extremities,” <A href=\"http://www.aans.org/patient%20information/conditions%20and%20treatments/spinal%20cord%20injury.aspx\">(American Association of Neurological Surgeons, 2016)</A>. Generally falling into the category of “spinal trauma” there are many symptoms which are similar to other forms of spinal trauma and spinal cord injury. Below are some symptoms of spinal trauma:</P>\n<UL>\n<LI>Spinal shock — or the &quot;loss of feeling or movement below site of injury&quot; <A href=\"http://www.columbianeurosurgery.org/conditions/spinal-trauma/\" rel=\"noopener\" target=\"_blank\"><I>(Columbia University Medical Centre, 2016) </I></A>that can last between hours and weeks</LI>\n<LI>Loss of bladder or bowel function</LI>\n<LI>Difficulty breathing</LI>\n<LI>Muscle spasticity</LI>\n<LI>Difficulty understanding speech</LI>\n<LI>Problems with attention</LI>\n<LI>Memory challenges</LI>\n<LI>Heart rate and blood pressure problems</LI>\n</UL>\n<P>Unfortunately, it is sometimes challenging to identify which symptoms are due to a spinal contusion, and which ones are the result of a spinal cord injury directly. It can sometimes require a few days or weeks for the body to recover from spinal trauma and reveal if any permanent damage is left from the accident that caused the SCI.</P>\n<P>Understanding what a contusion is, and how it can come into play following a spinal cord injury is important in order to clearly appreciate your injury, understand your diagnoses, and work toward treatment and a prognosis. Doctors can sometimes use jargon that’s difficult to understand, so the more you can educate yourself about your condition, the more control you can have in your recovery and treatment.</P>\n<P>If you still have questions about the details of the spinal cord and how it may be affected from your injury, please contact us or download our <A href=\"/the-simplified-guide-to-understanding-a-spinal-cord-injury\" rel=\"noopener\" target=\"_blank\">guide to understanding a spinal cord injury</A>.",
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"description":"The spinal cord is a vital part of the human body. As the vehicle responsible for carrying messages from the brain to the rest of the body and back again, even the smallest interference can be detrimental. Following a traumatic spinal cord injury, this bundle of nerves can become bruised, also known as a contusion. Because of the nature of the nervous system, any interference can constitute a serious spinal contusion, but these facts will help you dissect all of the information from the medical professionals.

What Is a Spinal Contusion?
Signs-of-a-spinal-contusion-title-image
Much like any other bruise, a contusion can cause bleeding from local blood vessels and inflammation which, rather unlike bruises on other parts of the body, can have serious negative impacts on the spinal cord itself. Because the “blood must clot to stop the bleeding”a bruise results from contusions also increase cardiovascular risks.

For example, the swelling a contusion can cause will often disrupt nerve impulses that travel from the brain to the body through the spinal cord, and the severity of this will depend upon the level of injury. Unlike a concussion, a contusion would not cause unconsciousness or a ‘blackout’, but instead cause the patient to feel a numbness or tingling in the extremities.

A contusion can cause spinal compression, which happens when there is pressure on the spinal cord. This can go on to cause an array of physical symptoms such as loss of sensation in the feet, inability to use the hands and loss of sexual ability. It must be noted that not all contusions cause spinal compression, and not all spinal compression is caused by a contusion, although they do often connect this way.

Warning Signs of a Serious Spinal Contusion to Watch For
Firstly, doctors will try and establish what area or limb the injury has affected. Spinal contusions most often “affect the upper extremities bilaterally and also sometimes involve the lower extremities,” according to Dr. Wong, an orthopedic physician.

Symptoms include “numbness, tingling, [or] electric shock-like sensations and burning in the extremities,” (American Association of Neurological Surgeons, 2016). Generally falling into the category of “spinal trauma” there are many symptoms which are similar to other forms of spinal trauma and spinal cord injury. Below are some symptoms of spinal trauma:

Spinal shock — or the loss of feeling or movement below site of injury (Columbia University Medical Centre, 2016) that can last between hours and weeks
Loss of bladder or bowel function
Difficulty breathing
Muscle spasticity
Difficulty understanding speech
Problems with attention
Memory challenges
Heart rate and blood pressure problems
Unfortunately, it is sometimes challenging to identify which symptoms are due to a spinal contusion, and which ones are the result of a spinal cord injury directly. It can sometimes require a few days or weeks for the body to recover from spinal trauma and reveal if any permanent damage is left from the accident that caused the SCI.

Understanding what a contusion is, and how it can come into play following a spinal cord injury is important in order to clearly appreciate your injury, understand your diagnoses, and work toward treatment and a prognosis. Doctors can sometimes use jargon that’s difficult to understand, so the more you can educate yourself about your condition, the more control you can have in your recovery and treatment.

If you still have questions about the details of the spinal cord and how it may be affected from your injury, please contact us or download our guide to understanding a spinal cord injury.",
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