1 in 5 women and 1 in 12 men experience painful sex: What you need to know

AF

Amy Fraser

26 April 2024 | 12:50

From minor strains and bruises to more severe injuries like fractures or tears, the spectrum of sex-related injuries is broad.

Clement Manyathela interviews Dr. Elna Rudolph, Sexologist and Clinical Head of My Sexual Health and President of the World Association for Sexual Health.

Listen below.

Sex is meant to be an enjoyable experience, but a misstep in the bedroom can turn pleasure into pain. 
Despite its prevalence, the topic of getting injured during sex remains largely unspoken.

Surprisingly, statistics show that one in five women and one in 20 men encounter discomfort or pain during sexual activity.

From minor strains and bruises to more severe injuries like fractures or tears, the spectrum of sex-related injuries is broad.

Practicing caution, understanding your body's limits, and communicating openly with your partner are crucial steps in preventing such mishaps.

While some individuals may experience chronic pain due to underlying medical conditions like endometriosis, others may only encounter pain sporadically as a result of accidental injuries.

For instance, muscle strains from awkward positions may not warrant a doctor's visit, but incidents like a dislodged sex toy demand immediate medical attention.

RELATED: Sex and cancer: Could frequent ejaculation protect your prostate?

Among men, a common source of discomfort is phimosis, a condition where the foreskin becomes too narrow, causing pain during erection, particularly for uncircumcised individuals.

Despite the frequency of sex-related injuries, many people hesitate to seek medical assistance due to embarrassment or fear of misdiagnosis.

Shockingly, some endure excruciating pain for years without seeking proper treatment. 

"I've seen 25 years, I've seen 27 years, I've seen 26 years."
- Dr. Elna Rudolph, Sexologist and Clinical Head – My Sexual Health and President – World Association for Sexual Health

One particular cautionary note is regarding the "reverse cowgirl" position, notorious for its association with penile fractures.

Awareness of such risks can aid in making informed choices and prioritising safety and pleasure in sexual encounters

"Reverse cowgirl; that's the worst of the worst...It's by far the riskiest position to cause a penis fracture."
- Dr. Elna Rudolph, Sexologist and Clinical Head – My Sexual Health and President – World Association for Sexual Health

Scroll up to the audio player to listen to the interview.

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