While many women enjoy the cowgirl or woman-on-top sex because they can control their own pleasure, the position has been revealed as being quite dangerous for men. The results of a recent study by doctors in Brazil has found that the ‘cowgirl’ or woman on top position is responsible for half of all penile fractures during sexual intercourse reported at their hospitals.
Doctors and academics looked at patients attending three A&E units with suspected “penile fractures” over a 13 year period. Half of them reported hearing a crack before experiencing pain, with some also suffering swelling. Their average age was 34 and some of the men waited up to six hours before seeking medical help.
The study, published in the Advances in Urology journal, reads:
“Penile fracture is a relatively uncommon clinical condition that frequently causes fear and embarrassment for the patient, hypothetically resulting in delayed search for medical assistance, which can lead to impairment of sexual and voiding functions,” said the authors.
“Considering that most studies are retrospective and based on patients records information regarding the social dynamics surrounding penile fracture is scarce in the literature, mainly potentially risky sexual positions.”
The study found that 44 men had attended hospital, with 42 having “the condition confirmed after clinical, radiological and surgical evaluation”.
Heterosexual intercourse was the most common cause of fracture (28 patients, 66.7%), followed by penile manipulation (6 patients, 14.3%) and homosexual intercourse (4 patients, 9.5%). Four patients (9.5%) opted to maintain the cause unclear.
Regarding sexual position reported by man in heterosexual relationship (), “woman on top” was the most common situation associated, corresponding with 14 cases (50%), followed by “doggy style” in 8 cases (28.6%). Six patients (21.4%) reported being on top at the moment of injury. Twenty-six (92.9%) patients reported vaginal penetration, and only 2 (7%) confirmed anal penetration.
Regarding homosexual intercourses, half of the patients () reported being on top and the other half () had his partner on “doggy style” position.
The research also revealed that the “doggy-style” position, with women on all fours, is behind 29 per cent of afflictions. In contrast, the traditional “man on top” is responsible for just 21 per cent. The research concluded:
“Our study supports the fact that sexual intercourse with ‘woman on top’ is the potentially riskiest sexual position related to penile fracture.
“Our hypothesis is that when woman is on top she usually controls the movement with her entire body weight landing on the erect penis, not being able to interrupt it when the penis suffers a wrong way penetration, because the harm is usually minor in woman with no pain but major in the penis.
“On the contrary, when the man is controlling the movement, he has better chances of stopping the penetration energy in response to the pain related to the penis harm, minimizing it.”
The scientists, who looked at three hospitals in Campinas, a city of three million people in Brazil, used hospital records and in some cases interviewed the patients.