146: What We Can Learn From People With Spinal Cord Injury – Dr. Mitchell Tepper

Sex After Spinal Cord Injury
On this episode, Mitchell joins us to discuss the impact of a spinal injury on sexual function. Having experienced this type of injury personally, he shares his journey to teaching people about sexual health being one of the first people to have a sexual health domain registered in 1996. The website was intended to help people with disabilities with their sexual health but soon became a central source of sexual health information for all kinds of people.


The Importance of Trust
Setting myths aside, Mitchell explains that people with disabilities can experience sexual pleasure, erections, etc but some have difficulty expressing themselves. After research into this, he found that people need a partner they can trust to reach the point of sexual pleasure and comfort.

A critical part of this is relearning the truth about sex, departing from the limiting physical definition to experiencing trust, safety, and connectedness. Mitchell is a testament to breaking physical boundaries with this combination. He has found that even those with disabilities below their injury region have experienced an orgasm with the proper context and approach.

Sexual Self Esteem
In other areas of his research, Mitchell tells us about the effect of how much time has passed post-injury and sexual self-esteem on sexual health. His findings also point to people having higher sexual self-esteem if they were born with their disability as opposed to people who acquired their injury. This is based on the latter group constantly comparing their past sexual performance with their current ability.

These Ideas Apply to Everyone
In his process of helping people, Mitchell explains that he helps his clients understand how their new bodies work, as this is usually overlooked or taken for granted. In addition to this, he encourages people to make use of touch, sound, and sensation to help people reach sexual pleasure.

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