Sex Toys After Spinal Cord Injury: What to Consider When Choosing

Sexuality and intimacy are still part of life after a spinal cord injury (SCI), but what worked before may not work now. Sensation, movement, grip and how the body responds can all change. Many people find that the right equipment, chosen with some thought, makes a real difference.

This guide covers what to consider when choosing sex toys and other intimacy aids after SCI. It is general information, because every injury is different.

Why SCI changes what works

The effect of SCI on sexual function depends on the level and completeness of the injury. Common changes include:

Sensation: some areas may feel less, more, or differently. Areas above the level of injury, such as the lips, neck and ears, often become more important.
Erections and ejaculation: these are not the same thing. Many people can still masturbate, orgasm or ejaculate with a soft penis, so an erection is not always needed to use a device.
Hand function: reduced grip, finger movement or reach can make small buttons and awkward handles hard to use.
Muscle spasm, fatigue and positioning: these can affect comfort and how long you can be in one position.

Choosing by what your body needs

If you have reduced hand function

Look for large, raised buttons, simple controls and handles you can hold without a tight grip.
A design you can slide a finger or thumb through, or hold with the palm, can help.
Explore Hand Strength & Dexterity.

If sensation has changed

Some people need stronger or deeper vibration, or a different type of stimulation, such as air pulse technology for clitoral stimulation.
Try different intensities slowly, and try more than one type of stimulation.
Explore Sensation Changes and Clitoral Stimulation.

If you don't have or maintain an erection

Some products are designed to be used without an erection, such as the Fun Factory Manta.
Explore No Erection Required.

If positioning is the challenge

Wedges, ramps, cushions, slings and supports can help you or your partner get into a comfortable, safe position and stay there.
Explore Positioning & Support.
Hands-free and partner-assisted options are in Hands-Free / Partner-Assisted.

If you want to use it with a partner

Some devices are made to be worn or shared. See Couples & Wearables.

Keep an open mind

Many people find their sexual response changes from day to day. What works today might not work tomorrow, and that's normal. Rather than searching for one perfect product, think of it as building a toolbox. A few different options, a bit of experimenting and some patience often work better than a single solution. Intimacy can also mean touch, closeness, kissing, and time together, not only intercourse.

Safety after SCI

Follow the manufacturer's instructions, including recommended use times and frequency. Using a device for too long, too often or too strongly can cause skin damage, swelling or irritation, especially where sensation is reduced.
Check your skin after use, or ask a partner or carer to. Look for redness, swelling, bruising or abrasions.
Know about autonomic dysreflexia (AD). If you have an injury at T6 or above, sexual activity can trigger AD, which is a medical emergency. Signs include a pounding headache, sweating or flushing above the level of injury, and a very high blood pressure. Stop, sit upright, and follow your AD emergency plan, seeking urgent medical help if needed.
Use a suitable lubricant to protect skin. See our guide on how to choose a lubricant.
Talk to your treating team before trying new equipment, especially if you're unsure about AD, skin integrity, medications or spasticity.

For more detail, read Safety Basics: Using Intimacy Aids After Injury or Disability.

Who can help

Occupational therapists, spinal unit nurses, sexologists, psychosexual therapists, pelvic health physiotherapists and doctors can help you choose equipment and work through the practical and emotional parts of sexuality after SCI. Asking your clinician is often the best first step, and many are keen to help.

Funding

If equipment is needed because of an injury, illness or disability, there is usually a funding pathway. We provide quotes that include our ABN, GST, shipping and every item, and we invoice funding bodies directly once approval is in writing. See Funding Assistance and our article on what most schemes look for.

Browse by need

Frequently asked questions

Do I need an erection to use a sex toy after SCI?
No. Some devices are designed to be used without an erection, and many people can experience pleasure and orgasm without one.

Can I order without a referral?
Yes. You can shop for yourself without a referral. If you want funding, your clinician can support your request, and we can provide a quote.

Will my order be discreet?
Yes. Every order ships Australia-wide in plain packaging with nothing on the outside to suggest what is inside.

This article is general information and isn't a substitute for advice from your health professional.