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Contraception, Disability and Illness

Male Contraceptive and Reproductive Issues

Scleroderma

Men may experience erectile dysfunction due to decreased blood flow to the penis. For men with scleroderma, there is also an increased risk of Peyronie's disease or fibrosis of the corpora cavernosa of the penis. This condition can result in shortening and curvature of the penis which can then result in erectile dysfunction. The use of certain medications, such as anti-hypertensives, can also lead to erectile difficulties. Condom usage by men with scleroderma may be difficult since the fingers of scleroderma patients usually become fixed in a bent position. As with other conditions that affect erectile function and hand use, advance discussion with a partner about contraception and/or condom use is one way to reduce uncertainty (and thereby enhance enjoyment of sexual activity).

Last Modified: September 5, 2006