
When Sex Hurts
Sex is supposed to feel good, but a few wrong moves beneath the
sheets could leave you in pain. Anything from a rug burn to a
penile fracture is possible if you get too rough or move too fast.
Take it slow and know your limits to avoid these common sex
injuries and other hazards.

Tears to the Vagina or Anus
Rough sex or a foreign object (like a dildo) can tear the
sensitive tissue inside the vagina or anus. This can be painful,
and you may bleed. If it hurts, your doctor can prescribe a
pain-relieving cream. Don’t put anything inside your vagina or anus
until the area heals. Use a lubricant whenever you have sex to
avoid injuries in the future.

A Broken Penis
You can fracture your penis if you bend it too far or hit it
hard against your partner’s pelvis when you slip out while
thrusting. This is different from a broken finger or toe. That’s
because your penis has no bones. Instead, the force ruptures one of
the two cylinders inside that fill with blood during an erection.
Signs of a penile fracture are a popping sound, swelling, and
intense pain. Get medical help right away.

Muscle Pull
Any activity where you do the same movement over and over — like
thrusting — can strain a muscle. Twisting your body too hard can
pull muscles in your belly or back. During an orgasm, your thighs
naturally tense up, and you may feel sore afterward. Any pain
should let up in a day or two. If it doesn’t, you might have a real
injury that needs your doctor’s attention.

Carpet Burn
The friction of rubbing against a rough surface — say a rug or
the floor — can leave scrapes and burns on your back, buttocks, and
legs. Friction burns can be very painful. Fortunately, most aren’t
serious, and they’ll heal on their own in a few days. To avoid one
of these, put a blanket down as a buffer if you plan to get busy on
the carpet or the floor.

Stuck Foreign Objects
Some couples use sex toys, such as vibrators, dildos, anal
beads, or butt plugs, to enhance their pleasure. Others reach for
household items, like a cucumber or electric toothbrush. Playing
with toys is totally normal. Just be careful that the object you
use has a wide enough base that it won’t get stuck. If a toy or
other object goes in too far, you may have to make a trip to the
emergency room to have it removed.

Allergic Reactions
An itchy rash or burning after sex could be from an allergy.
Lubricant, spermicides, condoms, and even a partner’s cologne can
all trigger reactions in people who are sensitive to them. Rarely,
people are allergic to semen or to a protein in something their
male partner ate, such as nuts, that got into the semen. Symptoms
of an allergic reaction usually start about 10 to 30 minutes after
the contact. They can last for hours to days.

Heart Attack
This is pretty rare outside of the movies. As long as your heart
is healthy, there’s no reason to abstain from sex. After all, it
counts as aerobic exercise, which is actually good for your heart.
As long as you can do other exercises like walking or jogging
without a problem, you should be healthy enough for sex. Just check
with your doctor first if you have symptoms like chest pain,
shortness of breath, or an irregular heartbeat.
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Back Injury
A swift move in just the right (or wrong) direction could throw
out your back. Lifting your partner might do the trick as well.
Take it slow. Prop your partner against the bed or a countertop
rather than going for a full lift. If you already have a bad back
and it hurts to bend over, skip spooning — especially if you are
the big spoon. You may be more comfortable having sex doggy-style,
where one partner is on all fours and the other is in back.

Urinary Tract Infection (UTI)
Bacteria normally live outside the vagina. During sex, a penis,
finger, or sex toy can give these germs an easy route up the
urethra and into your urinary tract. Signs that you have a UTI
include burning when you pee and blood in your urine. To avoid an
infection, urinate right after you have sex to flush out any
bacteria. Ask your doctor whether cranberry juice or tablets might
help you avoid UTIs.

Sexually Transmitted Infection (STI)
Without proper precautions, you and your partner could pass
bacteria, viruses, and other germs to each other. Almost 20 million
people in the United States get an STI like herpes, syphilis, or
gonorrhea each year. Condoms are the best way to avoid these
infections. Having only one sex partner can also lower your
risk.

Post-Orgasmic Illness Syndrome
People with this rare condition develop flu- or allergy-like
symptoms after they orgasm. Fever, stuffy nose, sneezing, headache,
and itchy eyes can start within seconds, or up to a few hours,
after sex. It can last for a few days. Doctors don’t know what sets
off this reaction, but it’s more common in men. If you have this
syndrome, allergy medicines or antidepressants may help.

Post-Sex Depression
Sex should be fun and relaxing, but it isn’t for everyone. Some
people get the “post-sex blues,” even if the sex was good and
they’re in a loving relationship. Doctors call depression or
anxiety after sex “postcoital dysphoria.” Some people may even
become angry and lash out at their partner. If sex is upsetting
instead of pleasurable, talk to your doctor or a therapist about
it.

Genital Burning
Feeling a burn in your vagina or penis is never normal — during
sex or otherwise. Many problems cause a burning sensation. In
women, it can be due to vaginal dryness from low estrogen levels
around the time of menopause. An injury, infection, or lack of
lubrication can also cause burning or pain in either partner.
Burning once in a while is probably no reason to worry. But if it
often happens with sex, check with your doctor.
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