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5.8. Sexuality and Fertility Counseling

Both male and female Veterans with SCI/D must be offered the opportunity to undergo sexuality and fertility counseling by means of formal urological and psychological consultation. The spouse, or significant other, may be invited to be involved in the process at the discretion of the Veteran. Proper sexuality counseling should be facilitated by use of the Clinical Practice Guideline on Sexuality produced by the Consortium of Spinal Cord Medicine and the corresponding Consumer Guide.