" If I had a nickel for every time a patient told me they ‘ fell on something , ’ I ’d be retired on a private island by now . "
Sexshould be a fun and pleasurable experience that leaves you in a state of post - copulatory seventh heaven — notone that sends you to the emergency room .
alas , injuries from sex do befall from time to time . Minor ones can often be managed at home , but more serious injury may require a visit to the ER .
“ As an ER physician , I ’ve seen a wide range of injuries , but some of the most surprising and delicate ones involve sex - relate mishaps , ” Dr. Jordan Wagner , sleep with asDoctor ER on YouTube , told HuffPost . “ These hurt can be both awkward and painful , but they ’re more common than you ’d think . ”
Below , ER docs share how these injury happen , how they ’re treat , and pop the question some words of admonish so you may ( hopefully ) avoid them in your own bedchamber .
1. A penis fracture
penial fault , while rare , can occur during sexual activity due to manoeuvre psychic trauma to an vertical penis . The penis does not contain bones , so the “ fracture ” is actually thetearing of the tunica albuginea — the out lining of the tubes ( call the corpora cavernosa ) that fill up with stemma to make an hard-on .
ER doctor Joe Whittington , who runs theDr . Joe MD TikTok invoice , recalls a world in his former twenty who came into the ER with a suspected penile fracture .
“ It was his first intimate encounter , and he recounted how during the acute activity , his penis slide out and bent forcefully against his pardner ’s pelvic bone , ” he severalize HuffPost .
“ He immediately heard a pop speech sound , keep up by sharp pain , swelling , and spite . We quick confirm the diagnosing and schedule him for emergency surgery to repair the ruptured tunica albuginea . ”
After surgical process , the man was apprise to abstain from sexual activity and commit pain medication , Whittington say .
“ This incident underscores the grandness of maintaining good communicating and avoiding overly aggressive movements during relation to preclude such abominable injuries . ”
The urethra — the tube that allows urine to allow the physical structure — can also be damaged during a penile fracture . According to former exigency medicine physicianJessica Singh , founder and CEO ofSukhayu Wellness , “ It is vital to seek emerging medical evaluation and treatment ” if you are experience the symptom mentioned above .
2. An object stuck in the rectum
Between 2012 and 2021 , there were anestimated 39,000 visit to U.S. emergency rooms for rectal foreign consistence — in other words , object stuck in the rectum , the orbit between the end of the colon and the anal canal .
“ Although there may be several reasons for rectal foreign body insertion , they are most commonly insert during sexual activity , ” Singh said .
Wagner said he ’s seen everything from fruit to lightbulbs to water bottles get file in a patient ’s rectum after being inserted for sexual pleasure .
“ The eubstance creates electronegative pressure , so once it fit too far , it can get sucked in , ” he explained .
“ If I had a atomic number 28 for every time a patient tell me they ‘ fell on something , ’ I ’d be retired on a private island by now , ” he add together .
Sometimes , doctors can polish off these items manually with a gloved hand or a speculum , but more complicated situations ask surgical process .
Whittington hark back a display case in which a midway - elderly man fall to the ER with stark abdominal pain and was ineffective to pass BM .
“ He sheepishly admitted to inserting a light electric light into his rectum during anal play , which had now become accommodate . Given the delicate and potentially life-threatening nature of the situation , we took spare precautions to assure the weak bulb was remove safely without breaking , ” he explained .
“ After initial assessments , we cautiously removed the physical object under sedation to foreclose any further complications such as perforation or infection . Post - process , he was monitored for signs of transmission and given antibiotic drug as a precaution . ”
Rectal foreign bodies require medical evaluation and discussion , say Singh , take down that they must be removed immediately in ordination to forefend complications like contagion or perforation of the intestinal wall .
That ’s why it ’s so important to stick to sex toysdesigned specifically for anal retentive play . ( Vibrators or dildos stand for for vaginal use should not be inserted in the butt , nor should any household objects . )
“ Ensure they have a flared base to foreclose them from getting lose , and avoid overly forceful intromission , ” Whittington said . “ Using objects that are not meant for such activeness can lead to serious injury and complications . ”
3. A prolonged erection
Priapism is the medical term for an “ undesirable , lengthy , painful erection that lasts for hour beyond sexual stimulation or occurs without any sexual stimulation , ” Wagner explain . When an erecting last more than four hour , it becomes a aesculapian emergency , he said .
“ Blood can start to solidify , causing lasting wrong and the inability to have next erection . In the commercial enterprise , we say : ‘ prison term is penis , ’ ” said Wagner .
In sex - related cases of priapism , the chief culprit are medications used for cavernous dysfunction , such as Viagra , orpenile injection therapy . prolong erection are view arare side effect of oral ED medication like Viagra .
However , when the penis injections and oral medicinal drug are combined , the risk of infection of priapism is advance , urologist Dr. Drogo Montague severalise the Cleveland Clinic .
“ So bide on the safe side and do n’t geminate them , ” Montague advised .
When priapism occur , the goal is to thin the erection .
“ This can involve inject medicinal drug into the member to help the blood flow out , ” Wagner said . “ If that does n’t shape , we use large bore-hole needles to draw out , or remove , the lineage from the member . If the cognitive process of blood line solidifying begins , a urologist might take to do surgery to slip in a penial shunt or , in severe cases , a penial prosthesis . ”
4.Penis captivus
Penis captivus pass when the penis gets bond inside the vagina during social intercourse . Essentially , the vaginal muscles contract more than common , fasten the vaginal possible action and clear it difficult to take away an englut penis . Once the muscularity contraction or erection subside , partner should be capable to furcate .
It is thought to be avery rarefied occurrence in humansand most of the information we have about it is anecdotical in nature . Penis captivus might be relatedto a condition calledvaginismusin which the “ vagina involuntarily close up due to muscle spasms in the pelvic floor,”according to Medical News Today .
Whittington said he encountered a untried couple who go far at the ER “ in a state of considerable embarrassment ” after the female ’s vaginal muscles had clamp down so firmly during sex that the two were “ stick together . ”
“ The couple excuse that the situation grow during a particularly passionate consequence , ” he say . “ To help them , we used muscle relaxants and cold compresses to gently relax the vaginal muscles . After a short while , they were able to separate without further issue . ”
5. Genital infections caused by feces
Penile or vaginal infection can pass if cuts on the genitals are expose to fecal subject or other contamination , said Wagner .
“ This can materialize during sexual congress if proper hygienics is not keep up or if transition from anal to vaginal sexual urge without cleaning , ” he explain . “ These infections are usually a result of bacteria entering the soundbox through minor accidental injury , most commonly E. coli . ”
Typically , these infection are treated with antibiotics and proper injury fear , though some patient may need to be hospitalise and given IV antibiotic .
“ Good hygienics is important , ” said Wagner .
To preclude infections , you should change condoms if you ’re transitioning between anal retentive sexuality and vaginal sexual practice . And any phallus , finger or sex activity toy that ’s been in the anusshould be washed exhaustively using soft liquid ecstasy and urine before it goes into the vagina .
This clause originally seem onHuffPost .
