Updated: Sep 7, 2019
Of course sex education as it's known by the general public has it's limits (sexism, marginalized teaching of morality in having sex), but taking a dive into the unknown Cory Silverberg's The Ultimate Guide to Sex and Disability sexuality is not only redefined but re-purposed for the lack of sex education that institutions provide those with disabilities and to the general public that interacts with them.
For starters, sex education from special education classes even to the extremes in mental institutions if taught, values privacy and modesty. Considering that having a disability may not guarantee much privacy, and that it's generally assumed that "the disabled" don't have sex, the welfare of their own bodies is neglected before even understanding physical satisfaction. Identifying with multiple minority groups, personalities may seem as though there is a complexity to being perhaps a bisexual, second generation Polynesian, woman. Add disability to that, imagine what the focus of your identity to others is.
Which sexually brings us to the fundamental differences between self image and self esteem. Self image being how you view yourself with a physical disability may either be enhanced or living within the confines of imagination to project self esteem.
The basic fundamental of an orgasm reflects intensity through the same measurement for everyone, BREATHING. In feeling pleasure we must understand that the ability to feel or having a sexual feeling doesn't always equate to a sexual response. We all know pleasure can be physically stimulated through dry or wet fingers, stimulating areas of your body (perhaps your nipples), etc. Your breathing measures the amount of blood flow traveling throughout your stimulated areas. Your endocrine system helps the full body experience of having contractions while achieving an orgasm once your various rhythms of oxygen intake release into potential spams that could reduce pain and help emotional grounding. This is pretty much the basic stuff of a traditional orgasm. Yet, while understanding our experiences achieving orgasm as able bodied beings, a closer look at more common concentrations on the stages of achieving an orgasm...
Achieving an orgasm often comes in three stages: desire, excitement, and orgasm. The sexual desire that comes from arousal isn't always physically triggered, many often experiences orgasm without direct physical stimulation. Excitement, or physical stimulation achieved through the lower sacral region experiences sensation in multiple ways because of the nerve connection to the spine for those who have no sensation in their genitalia. An erection stimulated from the lower sacral region can allow a disabled bodied person to have a full body experience with one who may be able to pay tribute to their admiration for the receivers self image, booting self esteem. Reflex lubrication also occurs even without the desire to have sex. Instances where there is a dry orgasm can result in an retrograde orgasm where the ejaculate enters the bladder.
Other factors to consider experiencing an orgasm, include the side of effects of medications, or other conditions that aren't visible. When living with an endocrine deficiency, knowing what your partner wants physically and emotionally and what's to be stimulated in the body will help the "traditional" ethics of orgasm because all your systems needing to communicate.Those with cerebral palsy generally prefer larger movements that small movement stimulation. Those with Epilepsy can often experience fatigue from medication, and even risk seizures from forms of birth control because of anticonvulsants. Oils are more favorable than chemical based "vaginal tighteners" or scented lubricants because of hormonal imbalances they can bring. Those with PTSD may experience sensory channeling that could regulate deviations of bipolar disorder due to the disability to create a fuller experience.
Destigmatizing sex education requires a full perspective on all things social and all things sex. More than physical function make making love or whatever you prefer, a revaluation to mental, emotional, and physical health. Camaraderie between the able bodied and the disabled (those who are neurologically wired differently) is offered in the focus in inclusion for expressing every part of their sexual identities on a massive scale in order to understand individual contributions to other communities in which disabled bodies belong.