Is it possible to have fertility capabilities with lower body paralysis?

Jul 25, 2024 Source: Cainiu Health
Disease description:

I have a friend who is paralyzed from the waist down and is currently considering whether to get married. I would like to ask, can someone who is paralyzed from the waist down still have the ability to have children?

Doctor's answer (1)
Dr. Huang Shichang
Whether a person with lower body paralysis still has fertility depends on the individual's specific circumstances. The impact of lower limb paralysis on fertility mainly depends on the location and severity of the nerve damage. Spinal cord injuries may affect the autonomic nervous system, thereby influencing sexual function and the normal operation of the reproductive system. If the patient's reproductive system remains undamaged, they generally retain their fertility. For example, a woman with lower body paralysis whose uterus and ovaries are functioning normally can still ovulate and potentially become pregnant. Similarly, a man with lower body paralysis who can achieve erection and ejaculation remains fertile. However, if the lower body paralysis has caused damage or dysfunction of the reproductive system, such as uterine damage in women or erectile dysfunction in men, the patient's fertility may be affected. Additionally, lower body paralysis may be accompanied by other health issues, such as spinal cord injuries and neurological dysfunction, which could indirectly affect fertility. Patients who still have fertility concerns after paralysis are advised to seek medical consultation promptly.