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Careful Sex Use
common sense to prevent injury during intercourse. The key to sexual longevity, however, is "reasonable care." Leading a healthful lifestyle to keep the blood vessels that supply the penis in good shape is vital. Having sex regularly also helps by rushing oxygen-rich blood to the tissues in the penis. But you also need to be careful how you have sex. Although it's a sensitive subject few people care to talk about, injury to a man's penis during sex is more common than most people suppose and far more common than it needs to be. Most injuries occur as a result of bending of the erect penis. Think of the erect penis as a set of hydraulic cylinders expanded by blood under pressure. If pressure goes to high, because of a kink in a cylinder, the cylinder walls can rupture. Once that happens, the cylinder no longer works. One of the most common ways that men are injured is during intercourse with the woman on top. His penis slips most of the way out of the vagina and is bent with the next thrust. Some men will actually hear a crack, followed by immediate intense pain, loss of erection, and subsequent discoloration. In other cases, however, the damage is much less obvious. There may be little discomfort, and the man may think nothing of it. But in the end, the results could be the same: permanent bending of the penis and/or impotence. Dr. Irwin Goldstein, a urologist at Boston University who has treated many men with fractured penis, thinks that a significant number of impotent men get that way from injury during intercourse. To protect yourself, exercise common sense. Always have adequate lubrication, be cautious about acrobatic positions, stop any time intercourse becomes uncomfortable, and be particularly wary when you're partner is on top. Just as important, if you think you may have been injured, don't tough it out. See a doctor immediately. The chances of correcting the problem easily and without extensive damage improve the sooner you get care.
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