Episode 8 | Can sex actually land someone in the hospital with a fractured penis? In this episode of The Orgasm Hour Q&A, Dr. Suzanne Mulvehill examines the research on penis injuries during intercourse, oral sex, manual stimulation, masturbation, and rough sexual play. We will explore how sudden bending, biting, constriction, friction, forceful gripping, and loss of alignment can injure an erect penis. These injuries can include penile fracture, ruptured blood vessels, bruising and hematoma, skin and frenulum tears, urethral injury, bite wounds, infection, pain, and changes in sensation. An erection becomes particularly vulnerable when force is applied sideways, sharply downward, through teeth, during prolonged constriction, or when the penis slips out and is struck or bent during intercourse. A penile fracture is not a broken bone. It is a tear in the fibrous tissue surrounding the erectile chambers, usually caused by the sudden bending of an erect penis. It is one of the most serious and best-documented penile injuries associated with sexual activity and often requires urgent surgical repair. We will look at how penile fractures happen, which sexual movements and positions appear most often in the research, and why a condom cannot protect the penis from a bending or crushing injury. We will also consider the experience of a man whose penis was painfully bitten during oral sex. Although he can still orgasm in other ways, he has not been able to orgasm through oral sex since. Can one painful or frightening sexual experience cause the nervous system to associate a previously pleasurable route to orgasm with danger? Penis owners and their partners will learn how to recognize the warning signs of a serious injury, including a popping or cracking sound, sudden pain, immediate loss of the erection, rapid swelling or bruising, an abnormal bend, blood at the urethral opening, difficulty urinating, an open bite wound, numbness, or discoloration. These symptoms require prompt medical attention, and embarrassment should never delay a visit to the emergency department. This episode is about more than avoiding injury. It is about understanding the penis, communicating clearly, respecting pain, maintaining alignment, and protecting the body while creating pleasure. Caring about orgasm means caring for the body experiencing it.