Sex Positions that could Harm a Man

Some sex positions could damage a penis, especially when the movements are vigorous or out of control.
Sex Positions that could Harm a Man
Isbelia Esther Farías López

Written and verified by the philosopher Isbelia Esther Farías López.

Last update: 12 May, 2022

Today, we’d like to tell you what the most harmful sex positions are for them. Penile injuries are highly concerning for most men. In addition to the pain, and the shame that often comes with it, the fear of possible consequences is a huge stressor for most men.

Harmful Sex Positions for a Man

An erect penis is at a higher risk of injury when they try to perform certain sex positions.

1. Woman on top

A woman on top of a man could be one of the harmful sex positions.
When a woman is on top, there’s an increased risk of loss of control of the movements and a penis could easily fracture.

The risk of this sex position increases when a man dominates the sexual relationship. If there’s a high degree of excitement and thus, intense penetration, it could accidentally exit the vagina and hit the perineum or pubic symphysis.

A study conducted in Brazil in 2014 revealed that woman on top is one of the most harmful sex positions for men (not only for their ego). This is because she could accidentally force the entire weight of her body on the erect penis. This, added to the frenzy of the movements, could lead to injury (which is very painful and sometimes even requires surgical treatment).

2. Doggy style

The same study cites a sex position that ranks second in terms of the risk of injury to the penis: doggy style.

Doggy style (a man penetrating from behind while their lover supports themselves on their hands and feet) isn’t only risky. It’s also the sex position that leads to the most serious injuries. In fact, it appeared in more than half of the injury cases and was up there with others such as woman on top.

In comparison, the study also lists “the missionary (man on top)” position as a small risk factor. In this regard, a good strategy to keep in mind trick is for the man to hold the woman’s hips tightly. This way, they have better control of the thrusts.

Other causes of penis injuries

A woman and a man enjoying each other.

As you can see, any sex position could lead to penile fracture if the penetration movements are too vigorous. This is because it’s easier to lose control of it at higher speeds. This often leads to a blow to the penis as it hits their lovers’ bone.

Keep in mind that these types of lesions may also have other causes, according to the studies. In some cases, patients have cited masturbation or some other kind of rough manipulation. In others, it could’ve been due to trauma or when the man turned on their bed during sleep while having an erection.

Finally, there are also cases in which a man hurt himself while trying to put on his underwear while his penis is erect. This is because the undergarment exerted too much pressure on it.

What to do if you’re injured

You should go to an emergency room right after you get injured. Do so particularly if the pain is too intense. A doctor will be able to make an accurate diagnosis and determine the best treatment only after they evaluate your situation.

The three symptoms that patients mention most when they opt for evaluation are:

  1. A crack or the sound of fracture,
  2. The loss of the erection,
  3. Intense pain.

A man may experience other symptoms if he also injured his urethra. For instance:

This is an injury that’s usually present in more than a third of penile fracture cases. Note that it requires immediate medical attention.

Finally, remember that it’s not a good idea to self-medicate or just ignore the pain. Keep in mind that your problem could easily get worse if you ignore it.


All cited sources were thoroughly reviewed by our team to ensure their quality, reliability, currency, and validity. The bibliography of this article was considered reliable and of academic or scientific accuracy.


  • Reis, L. O., Cartapatti, M., Marmiroli, R., Oliveira Júnior, E. J. De, Saade, R. D., & Fregonesi, A. (2014). Mechanisms predisposing penile fracture and long-term outcomes on erectile and voiding functions. Advances in Urology. https://doi.org/10.1155/2014/768158
  • Barros, R., Schulze, L., Ornellas, A. A., Koifman, L., & Favorito, L. A. (2017). Relationship between sexual position and severity of penile fracture. International Journal of Impotence Research. https://doi.org/10.1038/ijir.2017.24
  • Kara, N., Morel Journel, N., Ruffion, A., & Terrier, J. E. (2015). Management of penile fracture. Progres En Urologie – FMC. https://doi.org/10.1016/j.fpurol.2015.06.004

This text is provided for informational purposes only and does not replace consultation with a professional. If in doubt, consult your specialist.