Q: I am a 26 years old man who had transverse myelitis 10 years back due to which my whole body got paralysed. Now, I have recovered about 80% with physiotherapy. But I can't ejaculate and don't have night falls. Please suggest.

A:Spinal cord disease often causes ejaculatory disturbances. You'll need an assessment. Problems like this may not be always curable, i.e. you may or may not be able to return to your normal, pre-transverse myelitis state. However, there are machines available that can help you ejaculate for fertilisation purposes. These machines induce ejaculation when applied, and the semen thus collected can be used to inseminate the partner, or for invitro fertilisation-intracytoplasmic sperm injection (IVF-ICSI), etc.