text: can a man with spinal cord injury have sex? a young woman i know is going to marry a man who is paralyzed from the waist down.  he's a wonderful guy but, does he have feeling below the waist and can he have sex?  will they be able to have children?  if he has no feeling, would viagra help him?  i don't want to ask her this but, i'm a little concerned because i know she loves children. they really need to consult with his doctor.  spinal injuries can vary, only his dr can really assess the situation.