Safe sex without injuries

Pulled muscles, concussions, and penis fracture (not just soreness and burning sensations) await those who throw safety precautions to the wind.


Click button to listen to Sex Injuries to download

INTOUCH: How to avoid injuring yourself during sex by Dr Dittakarn Boriboonhirunsarn

Unfortunately, sex can be not only pleasant and healthy, but harmful and even dangerous as well. Many of us do get injuries during sexual intercourse. Most often, these mishaps occur while having sex in unusual settings, positions, or doing it a bit too vigorously.

Here are some common sex-related injuries people experience and how to avoid and treat them.


Pulling muscles in the legs, neck, back, etc is probably the most common sex-related injury, usually resulting from trying to get into sex positions that you're not flexible enough for. Don't try any really wacky sex positions unless you're sure both of you can discontinue it without hurting yourselves. Immediate care includes rest, cold compression and elevation, which should make the pain go away in a few hours. Otherwise, you may require medical attention.


Most sexually-active women have experienced vaginal soreness after sex at some point in time. Soreness can come from too much friction due to insufficient lubrication which becomes more common when they reach menopause. Giving some time for foreplay will help women produce enough lubrication for sex. Or you can just use lubricants. However, you may need to consult your doctor for more appropriate treatment if you're always experiencing soreness during, or after sex.

Sometimes soreness may result from vaginal or urinary tract infections. Infections can cause a burning sensation during urination, lots of discharge with or without an odour and vaginal soreness. Seek appropriate medical care whenever you experience these symptoms.


These are among the most common problems among women. Small vaginal tears or cuts can occur when sex is vigorous without enough lubrication. Women may often not feel any pain until after sex because the arousal raises pain tolerance.

Small tears can heal by themselves but if they are substantial and bleeding doesn't stop on its own, a woman should seek medical attention to treat the wound and to prevent infection. Again, adequate lubrication can minimise the chance of these tears.


This is not actually a fracture but tears in the tissue of the penis. It occurs when the erect penis is bent forcefully. The condition is rare, but it can happen, especially during vigorous sex and masturbation. A penile fracture is very, very painful. There may be a popping or cracking sound, followed by intense pain and lots of sudden bruising on the penis. If this ever happens to you, seek medical attention immediately before serious, permanent damage occurs.


Believe it or not, banging your head hard on something during sex is not uncommon. If this happens more than once or twice, you may need to try different sex positions that keep your head away from the headboard or wall. Also, slipping in the shower during sex is also common and can lead to concussions or even more serious injuries. Slip-resistant pads may be helpful in this situation.

To be safe during sex, use common sense. If anything causes discomfort it should be discontinued. Just because something is supposed to be fun, doesn't mean it works for you. Be passionate, but careful, and enjoy sex.

Assoc Prof Dittakarn Boriboonhirunsarn is a member of the Faculty of Medicine, Siriraj Hospital

(Source: Bangkok Post, INTOUCH, How to avoid injuring yourself during sex, 19/07/2011, Dr Dittakarn Boriboonhirunsarn, link

Sex Safety Vocabulary

inter - between two things
intercourse - interaction between two things
sexual intercourse - sex as an interaction between two things (the long way to say "sex"), also called "copulation" (See Wikipedia)

setting - a place to do some activity (example: this place would be a nice setting for a movie)
unusual settings - not the usual place for an activity (example: sex on top of the washing machine is an unusual setting for sex)
vigorous - very forceful or energetic กระฉับกระเฉง
vigorously - with a lot of force, strength and energy 
common - happens often

safety precaution - things that you to be safe and avoid danger (example: please take the safety precaution of using seat belts when riding in a car)
throw safety precautions to the wind - don't do anything to be safe

pulled muscle -"an injury to a muscle or tendon in which the muscle fibres tear as a result of overstretching ... The equivalent injury to a ligament is a sprain" (See Wikipedia)

wacky - strange, unusual; silly, crazy, funny

sex positions - the different, often very strange, positions that people get into in order to make sex more interesting (See Wikipedia)
wacky sex positions -
strange, unusual and funny body positions for sex

flexible -
when your body is able to move in different directions easily (opposite of "stiff")

compress -
press or squeeze something (to make it take up less space)
compression -
the act of compressing some object
cold compression -
the use of ice and compression to reduce pain and swelling from a injury to the muscles and "soft tissue", useful for sprains, strains, pulled muscles and pulled ligaments, part of R.I.C.E. (See Wikipedia)
-  another part of R.I.C.E. for treating "soft tissue" injuries

R.I.C.E. -
"a treatment method for soft tissue injury which is an acronym for Rest, Ice, Compression and Elevation. When used appropriately, recovery time is usually shortened and discomfort minimized. RICE is for soft tissue strains and is considered more a first-aid treatment than an end-all cure. The aim is to reduce the internal bleeding" (See Wikipedia)

require medical attention - have a serious injury or disease that a doctor must look at, diagnose and prescribe treatment for 

vagina (noun) -  when a child is born, the passageway through which the child leaves the body of the mother and enters the world ช่องคลอด (See Wikipedia)
vaginal (adjective) - having to do with the "vagina"

sore (adjective) - hurts, slight pain
soreness (noun) - the condition or state of hurting (experiencing pain)
sexually-active - currently having sex sometimes
sexually inactive -
currently not having sex (due to age, religious belief, lack of interest, disease, etc)
sexually-active man
sexually active woman  

friction - when things slide past and touch each other, slowing each other down, making movement difficult (See Wikipedia) แรงเสียดทาน,  การเสียดสี, การขัดสีกันระหว่างวัตถุ

menopause - the period of a woman's life in her late 40s to 50s when she stops producing eggs (that can turn into a baby, if fertilized by a man's sperm) (See Wikipedia)
insufficient - not sufficient, not enough ไม่พอ
lubrication - to make something move smoothly (by putting some substance such as oil on it) การหล่อลื่น
insufficient lubrication - not enough lubrication (so not moving smoothly enough)
consult your doctor - go talk with your doctor (to get his advice on what to do next)
treatment - the process of providing medical care การรักษา

infection (noun) - when a disease enters a person's body in some form (basteria, virus, prion, fungus, protozoa, etc) and makes the person sick (See Wikipedia)

urinary tract infections (UTI) - "a bacterial infection that affects any part of the urinary tract. Symptoms include frequent feeling and/or need to urinate, pain during urination, and cloudy urine.[1] The main causal agent is Escherichia coli. Although urine contains a variety of fluids, salts, and waste products, it does not usually have bacteria in it.[2] When bacteria get into the bladder or kidney and multiply in the urine, they may cause a UTI. The most common type of UTI is acute cystitis often referred to as a bladder infection. An infection of the upper urinary tract or kidney is known as pyelonephritis, and is potentially more serious" (See Wikipedia)

burning sensation - a feeling like your skin is burning (but it isn't really)
- การถ่ายปัสสาวะ, การขับปัสสาวะ
discharge - to send out a substance, especially liquid or gas ปล่อยออก, ขับออก
odour - a smell, often one that is unpleasant กลิ่น
sensation - a feeling
discharge - some fluid coming out of the body

tear - a rip or split ฉีกออก
cut - when a sharp object opens the skin so that blood comes out (example: he accidentally cut himself when he was cutting vegetables with a knife)
vaginal cuts and tears -

arouse (verb) -
arouse sexually, when a person gets excited about sex and wants to have sex ปลุกอารมณ์, เร้าอารมณ์, ทำให้เกิดอารมณ์ทางเพศ; เร้าใจ,ปลุกใจ,ดลใจ,กระตุ้น,ทำให้ตื่นเต้น
arousal (noun) - sexual arousal, the state or condition of a person being "aroused" (See Wikipedia)
pain -
a feeling of great discomfort when you are sick or have been injured; an unpleasant sensory and emotional experience, often from damage done to the body  ความเจ็บปวด (See Wikipedia)
tolerance - not easily affected by bad, unpleasant or painful things
pain tolerance - not easily affected by pain
arousal raises pain tolerance 

substantial - in a large amount or degree
wound - an injury in which your skin or flesh is damaged, usually seriously บาดเจ็บ บาดแผล
adequate - good enough or large enough for a particular purpose พอเพียง

minimise - to reduce something harmful or unpleasant to the smallest amount or degree ลดให้เหลือน้อยที่สุด ลดจำนวนลง
chance - what happens when you don't control events (example: gambling = games of chance)
minimize the chance of tears - act to make tears very unlikely

penis - the long thing baby-making thing that men have between their legs (slang: dick, weener, hot dog, etc) (See Wikipedia)
fracture - the breaking of something (usually a bone) (See Wikipedia)
penis fracture - a broken penis, happens when the penis hit hard when erect (See Wikipedia)
erect penis - when the penis is hard and stands up straight, also known as an "erection" (note: "erection" is a common mispronunciation of the word "election") (See Wikipedia)

tissue - the substance that animal and plant cells are made of เนื้อเยื้อ
rare - not happening very often เกิดขึ้นได้ยาก uncommon, unusual ซึ่งหายาก
condition - health condition
health condition - a bad health problem or situation that needs to be treated and cured
rare condition -
a "health condition" that does not happen often

cracking sound -
the sound of something breaking (example: the tree made a cracking sound as it fell to the ground)

- very strong
intense pain - very strong pain, very painful, hurts a lot s
bruising -
bruise - an injury appearing as an area of discolored skin on the body, caused by a blow or impact rupturing underlying blood vessels (See Wikipedia and Google Definitions)

immediately - happening right after something else with no delay; right away ทันที
permanent - happening or existing for a long time or for all time in the future ถาวร

concussion - temporary unconsciousness caused by a blow to the head. The term is also used loosely of the aftereffects such as confusion or temporary incapacity; a feeling of shock as from a heavy blow to the head (See Wikipedia and Google Definitions and How to treat at Wikihow)
bang head  - hit head on something 

not uncommon -
meaning: common
headboard - the wooden piece at the end of a bed near the pillows

slip -
when you lose control of your feet on a wet surface and fall เลื่อน
slip-resistant -  a surface that you can't slip on; holds your feet in one place
slip-resistant pads - a piece of flat plastic that you stand on (to prevent slipping)

common sense -  สามัญสำนึก
discomfort - something that makes you feel uncomfortable, anxious or embarrassed ความอึดอัดใจ

passionate - when a person shows or expresses strong feelings of love

About the author

Writer: Jon Fernquest
Position: Online Writer