ABSTRACT
INTRODUCTION Pregnancy may be difficult to achieve in women with neurological disability. Maintenance and restoration of sexual function, of which pregnancy is a consequential part, is a goal of neurological rehabilitation (1). In practice, however, professional attention to the sexual problems of people with disabilities (and perhaps in women with disabilities in particular) is often inadequate, delayed or non-existent. When undertaken, an assessment must take sensitive account of a patient’s history, personality and social setting. It may be difficult to return to a pre-existing relationship following the acquisition of physical disability. For example, following a brain injury there may be personality change, unstable mood, and fatigability. Following a spinal injury there will be a change or loss in mobility, sexual responses and sensory functions. New sexual and relationship problems may not resolve spontaneously with time, and may become entrenched and unmanageable unless addressed expertly and appropriately in a timely way.
