MEN IN BED: AVOIDING SEX INJURIES
Defensive sex. First there was safe sex. Now there’s ‘defensive sex’. It is estimated that 15 per cent of impotence cases are caused by injury during intercourse, and men are urged to take care. Men express great surprise when told it is possible to injure themselves permanently during intercourse. Some think their erections are made of concrete.
Such injuries can occur when an erect penis is bent or overloaded. It is said that, in the United States alone, between three and four million men have become impotent in this way. Men need to be made aware of these potential injuries and learn how to defend themselves against them. The frightening thing is that often such injuries go unnoticed or are noticed and then promptly dismissed as unimportant. Having intercourse without full mental capabilities, while drunk or drugged, can be dangerous because men are able to injure themselves more easily, not be aware of it and fail to seek help.
In ‘defensive sex’ communication between partners is important. The man should let his partner know if he is in pain, lubrication should be used to lower friction, and intercourse with a woman astride should take place with caution.
An erect penis is like an inflated cylindrical balloon. Squeezing such a balloon causes an increase in the internal air pressure either side of the squeeze. An erect penis is filled with blood, not air, and bending it or making it bear an abnormal weight causes a similar redistribution of its internal pressure. This can cause permanent injury.
At worst, a man can suffer a kind of ‘blow-out’ as the internal penis sheath tears with a cracking or popping sound. This is called a fracture and can happen when the erect penis slips out and is then thrust against the perineum or pubic bone of the partner. The man ends up in pain with great swelling and should seek medical help immediately. Permanent impotence can be avoided through prompt treatment, which involves removing the leaking blood and stitching the internal tear. But some men choose to endure pain and uncertainty rather than have the embarrassment of explaining the injury at hospital casualty. These men will end up impotent.
Less severe injury can occur when pressure rises inside the erection and approaches, but does not cause, a fracture. This can damage the interior lining, resulting in a lump, bump or bend in the penis shaft. Such injuries commonly occur when a woman is astride a man. The couple attempt penetration but miss and the weight of the woman’s torso lands on the penis.
Bumps and bends don’t necessarily lead to impotence, but impotence may result if they allow blood to leak out and drain away from the penis. This leaking can lead to poor rigidity and poor sustaining capability.
In some cases men may hear a cracking noise but have no pain or swelling. In other cases they may hear nothing but are aware there has been an injury. No one really knows what to do for these lesser injuries, which have been known to cause impotence.
Trauma to the erect penis can also occur during masturbation or from accidents. Masturbatory injuries may result from activities such as forcing the erect penis from side to side against the abdomen or forcing it against the thighs.
In one accident a man tripped over his sleeping dog and struck his erect penis against a door. In another, a schoolboy became embarrassed and forcibly pushed his erection down to achieve detumescence. Unfortunately, the effect he achieved was permanent.
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