Top 10 Sickness Prevention and First Aid Strategies

During intimacy, the wife fainted from her husband's embrace. After a night of passionate sex, the man's genitals were found to be torn, bleeding, and even deformed… In hospital sex clinics, it's common to see patients rushing to the hospital due to embarrassing sexual incidents. The reasons are varied and often absurd.
Embarrassing incidents during "passion" can range from ruining the relationship to causing physical harm or even death. Experts advise that couples should communicate fully during sex and maintain a degree of rationality even in the heat of the moment to avoid unexpected events. Sexual activity is physically demanding; if discomfort occurs, self-help should be attempted first, followed by prompt medical attention.

Embarrassing Case: A large, disheveled husband knocks out his petite wife.
"My wife fainted!" Late at night, a large, disheveled man brought his wife to the hospital for emergency treatment. "How did she get sick?" the doctor questioned him. His face flushed, and he stammered, "Well, she fainted during...you know..."
It turned out the couple were new to sex. He recalled that his petite wife had been quite "excited" that night, hitting and punching him from beneath him. But when he was in the throes of passion, she suddenly fainted. Fortunately, after examination, his wife was unharmed and quickly regained consciousness. The doctor looked at the man's physique and earnestly warned him, "With your size, don't put your wife on top of you in the future; you can easily knock her unconscious."
"Embarrassing incidents during sexual intercourse are often caused by factors such as improper coordination between partners, impatience, or incorrect positions," said Liang Weibao, chief physician of the Department of Urology at the First Affiliated Hospital of Jinan University. Common embarrassing incidents during sexual intercourse can be divided into three categories: first, accidents, such as fainting during intercourse, sudden death during intercourse (commonly known as "ejaculatory stroke"), and vaginismus; second, male sexual injuries, including frenulum tears, paraphimosis, penile fracture, and priapism; and third, common female injuries, such as hymen tears, vulvar lacerations or hematomas, and vaginal lacerations.
Injuries to men who "don't give up on minor injuries" can lead to sexual dysfunction
. Despite frequent embarrassing incidents, many patients, especially men, don't care about accidents and injuries during sex. They only seek medical attention in serious cases like fainting, bleeding, or breakage of the genitals; otherwise, they prefer to "stay in the game despite minor injuries."
"Some people are shy, some are unaware of the consequences of the injury, and some even suffer sexual dysfunction," Liang Weibao explained. He gave the example of men with phimosis or paraphimosis, who are prone to paraphimosis. Some men find their foreskin "stuck" around their genitals, but because it doesn't hurt at the time and they are tired after intercourse, they are too lazy to retract the foreskin, assuming it will resolve itself when flaccid. However, upon waking, the genitals are red, swollen, damaged, and may even affect sexual function.
Men with short frenulums are also prone to frenulum tears during vigorous activity. Without treatment, the tear may heal automatically, leaving a scar. Even without frenulum repair surgery, the tear will recur, and the scar will gradually enlarge. After erection, the genitals are pulled downwards by the scar tissue. This not only makes sexual intercourse more difficult for the man, but also makes it harder for the woman to achieve orgasm due to the altered natural angle of the erection, severely impacting the quality of their sex life.
A gentle partner can reduce accidental injuries to women
. The role of the partner is crucial in reducing accidental injuries during sexual intercourse. Liang Weibao quoted a senior obstetrics and gynecology expert from the hospital, pointing out that vaginal spasms causing difficulty in penile penetration are relatively common clinically, often related to excessive psychological tension in women. "Some women even have difficulty during gynecological examinations, making it impossible for the doctor to perform a digital examination or use speculum forceps smoothly." However, vaginal spasms causing difficulty in penile withdrawal during intercourse are relatively rare. Some foreign studies suggest that extreme female arousal can lead to spasms.
Furthermore, vulvar injuries often occur when the woman is not prepared, but the partner is already eager to penetrate. "The partner must respect the woman, provide sufficient foreplay, and help her relax," he said. A partner's gentleness and patience can reduce accidental injuries. When the woman's desire is fully aroused and the vagina is adequately lubricated and dilated, sexual intercourse will be much smoother.
Ten Embarrassing Incidents: Prevention and First Aid Strategies
Category 1: Sexual Accidents
Sexual Fainting:
Symptoms: Temporary loss of sexual consciousness during or after intercourse. This can occur when partners hug too tightly during sex, or when pressure is applied too forcefully to one partner's carotid sinus. It may be related to cardiovascular disorders or central nervous system abnormalities. It can also occur during strenuous exercise, or when too excited or nervous, resulting in symptoms such as paleness, profuse sweating, rapid breathing, low blood pressure, and loss of consciousness.
Countermeasures: Avoid forcefully squeezing the partner's neck during intimacy. Tall men should not lie on top of their partners. For couples with a tall, heavy man and a petite woman, the woman-on-top position is recommended. For those experiencing paleness and rapid breathing, lying down and resting (with head turned to one side) can lead to a quick recovery. Stimulating the philtrum (the area between the nose and upper lip) can help with fainting. Medical attention should be sought if necessary.
Sudden death during intercourse:
Manifestations: Commonly seen in patients with hypertension, coronary heart disease, and cerebrovascular disease; male sudden death during intercourse is commonly known as "stroke on the spot." The cause of death is severe arrhythmia and cerebral hemorrhage.
Countermeasures: Sexual activity should not be too frequent or too strenuous; a balanced approach is essential. Men taking nitroglycerin should not take Viagra during intercourse to avoid low blood pressure and potential accidents. Seek immediate medical attention if an accident occurs.
Vaginismus:
Manifestations: Strong contractions and spasms of the vagina before or during sexual intercourse, making penetration or withdrawal impossible, accompanied by pain. Causes of vaginismus are often psychological factors, such as the woman's fear or aversion to sex, a living environment filled with strict taboos and repression regarding sex, female neurosis, excessive excitement, or a thick hymen. Another important contributing factor is insufficient preparation before intercourse.
Countermeasures: Women who frequently experience vaginismus should analyze the causes and address them accordingly. After a woman experiences spasms, her partner can appropriately increase foreplay, chat with her, distract her, and help her relax. It should be noted that the incidence of genital retention is very low, and if it does occur, the man can easily extricate himself once he relaxes and becomes flaccid.
The second type: Male sexual injury .
Frenulum tear:
Symptoms: Pain and slight bleeding in the genitals after sexual intercourse or masturbation. When the foreskin is subjected to strong traction, especially during erection, or in men with a relatively short frenulum, the frenulum is the main stress point and is relatively thin, making it prone to tearing.
Countermeasures: Men should avoid being too rough during intercourse, and sexual activity should be stopped after injury. If the injury is minor, keep the area clean and disinfect with an alcohol-free organic iodine solution to prevent infection. Do not use irritating iodine, alcohol, or gentian violet solutions for disinfection. If the wound is large, bleeding does not stop, or frenulum tears recur, consult a urologist. If the cause is confirmed to be a short frenulum, circumcision is recommended to appropriately lengthen the frenulum.
Paraphimosis:
Symptoms: A relatively common type of injury, often occurring in men with phimosis or paraphimosis, and can occur during sexual intercourse or masturbation. When the foreskin retracts to the coronal sulcus behind the glans, due to congestion of the glans and swelling of the foreskin, the foreskin cannot return to its original position. At this time, the narrow ring formed by the foreskin opening tightly constricts the genitals, causing congestion, swelling, and deformation of the distal end of the genitals.
Solution: When the foreskin is stuck on the genitals, it should be gently retracted back to its original position. If paraphimosis occurs, immediate emergency treatment at a hospital is necessary. Milder cases can be manually reduced. If manual reduction is not possible, circumcision and reduction surgery are required. It is recommended that men with phimosis or paraphimosis undergo circumcision after the congestion and swelling subside to completely resolve the problem. Healing usually takes 15 to 30 days for adults after surgery.
Penile fracture:
Manifestations: This refers to a rupture of the tunica albuginea of the corpora cavernosa. It often occurs when the erect penis hits the woman's pubic bone or perineum, protrudes during thrusting and hits a bed, or during abrupt changes in sexual position, forceful squeezing, pressing, bending, or altering the angle of the erect penis
. The patient will hear a cracking sound upon injury, followed by severe pain and rapid swelling, discoloration, and deformation. Countermeasures: Avoid vigorous thrusting, abrupt changes in position, or using positions that are not well-coordinated during sexual intercourse. If a genital fracture occurs, immediate surgical intervention is necessary to prevent impotence and affect sexual function.
Priapism:
Manifestations: Persistent erection lasting more than 4 hours accompanied by localized genital pain. This is more common in patients who have repeatedly engaged in intercourse after using aphrodisiacs, but rarely occurs with prolonged intercourse or overly vigorous movements.
Countermeasures: Do not self-medicate with aphrodisiacs. If priapism lasts for more than four hours, you should go to the urology department of a hospital immediately for emergency treatment. Otherwise, fibrosis of the corpora cavernosa may occur later, and in severe cases, erectile dysfunction may be completely lost.
Third category: Female sexual injury
Hymenal laceration:
Manifestations: Hymenal rupture usually occurs during first sexual intercourse. Pain and slight bleeding are common at the time of rupture.
Countermeasures: During first intercourse, the partner should be gentle and wait for the woman to be fully lubricated before penetration. Bleeding from a ruptured hymen usually stops on its own and does not require treatment. If bleeding does not stop or the tear is significant, suturing should be done promptly to stop the bleeding.
Vulvar laceration or hematoma:
Manifestations: In women with narrow vaginas, rough handling by the partner can lead to abrasions of the vaginal vestibule, or even extensive lacerations of the perineum, vagina, and even the anus, accompanied by heavy bleeding. The subcutaneous and submucosal tissues of the vulva often show significant swelling, a feeling of heaviness, and severe pain. Severe bleeding can be accompanied by hemorrhagic shock.
Countermeasures: If bleeding persists after intercourse or is accompanied by vulvar or vaginal lacerations, seek immediate medical attention for suturing and hemostasis.
Vaginal lacerations:
Symptoms: Vaginal lacerations manifest as severe pain and vaginal bleeding. The vagina is more susceptible to injury if there are vaginal deformities or stenosis, or if the woman is pregnant or breastfeeding. Improper positions or lack of skill can also frequently cause vaginal damage.

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Top 10 Sickness Prevention and First Aid Strategies

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