Sure! When talking about reflexogenic versus psychogenic erections, it helps to understand that they’re triggered by different stimuli and involve different parts of the nervous system. Reflexogenic erections are usually triggered by direct physical contact or stimulation and don’t require sexual thoughts. This type of erection is primarily controlled by the spinal cord reflex at the sacral levels (S2-S4), which makes it somewhat automatic.
Psychogenic erections, however, stem from psychological arousal (like fantasies, sights, or sounds) and involve more complex pathways starting from the brain. These signals travel down from higher brain centers through the spinal cord to effect erectile response.
For individuals with neurological impairments such as spinal cord injuries, these mechanisms can be affected differently. For example, a person with a lower spinal cord injury may lose reflexogenic capabilities but retain the ability for psychogenic erections if the upper neural pathways remain intact.
Each case can vary significantly depending on the nature and extent of neurological damage, making individual assessments crucial in understanding how each mechanism might be affected.