One of the issues about disabled peopleʼs sexuality (DSex) concerns its purposes. The aim of their sexlife should be the achievement of the highest possible autonomy, granting them a condition of self-determination. This principle has often been replaced by that of the lowest indispensable autonomy. This lack is due to erroneous beliefs, led by irrationality and prejudices; frequently the opinion about this issue ranges from the sex denial to the credence of it as useless and spoiled. Parents themselves defend their disabled children by creating a world without sex. Sometimes the lack of the importance of sexuality depends on the disabled subject, especially when disabilities follow to strong traumas, and just later on he will renovate interest for sex. Thanks to the progress in Andrology and Reproductive Medicine, there has been a new propensity to acknowledge the right of DSex; physicians can help disabled men to live sexuality naturally thanks to new correct approaches, which supply a suitable option for them and their partner. The discovery of a different sexual ability becomes a sublimation of individual creativity, embodying a right to sexuality that the UN itself has granted to disabled people. In 2003, European Year of People with Disabilities, we reported all that in a publication, for physicians, disabled and their families, with practical advices for sexuality, commenting in a scientific way, and with some irony, the Kamasutra for disabled peopleʼs images. Purpose of this job is to testify our experience in the support of DSex and their procreative projects.Le texte complet de cet article est disponible en PDF.