No man likes to hear the words penis and pain in the same sentence, much less, experience them. However, there is a whole other class of penis pain that can be much more serious, the kind that lands a man in the emergency room with an ice pack on his package, or worse. Here is a list of the 5 most common major penis injuries that every man should know so he can react swiftly to minimize the permanent effects on his donger.

Big Penis Pain #1: Penile Fracture

A man can’t break his penis (since there’s no bone), but he can fracture it. It is far and away the most common penis injury out there. A penile fracture happens when a man is fully erect, and he tears the outer lining of his joint because he hits his partner’s pubic bone. It mostly happens when the ladies are on top, riding cowgirl-style, but it can also happen in other positions if a deep, hard thrust is just a few centimeters off.

Generally, a man will hear a crack or pop if he’s had a penile fracture. Most times, the penis can be repaired with a few stitches and some time away from all things amore. It can be worse, but those are much more rare cases. No matter the presumed severity, head to the ER ASAP.

Big Penis Pain #2: Testicular Torsion

Here’s one for the alliteration lovers in the crowd. Testicular torsion happens when the spermatic cord attached to the testicle gets twisted. It cuts off blood flow to the testicle, which causes intense pain. It commonly happens during sex and also while enjoying athletic pursuits like running, cycling, and contact sports.

Although a man can’t totally avoid it, he can lower his chances by wearing tight-fitting bottoms when active, so the testicles aren’t just flopping about, which can cause them to twist.

Big Penis Pain #3: Priapism

Ah, the curse of the little blue pill. While not exclusive to men using a medication for erectile function, priapism is a very serious penis injury that needs immediate medical intervention. It happens when blood gets stuck in the penis during an erection, and it won’t drain. If a man has an erection that lasts more than 4 hours, he should get to the ER for treatment before the erectile tissue is damaged.

There are a few ways doctors will treat priapism. The first is usually by injecting a decongestant into the penis to shrink the blood vessels. If that doesn’t work, they’ll have to drain it, which is exactly what it sounds like. There can be complications with drainage, but they are generally in the lower percentile.

Big Penis Pain #4: A Charley Horse…in the Groin?

The last place anyone would want a Charley horse is in the groin, and that’s for a good reason. It spasms and feels like it will never give up the grip. Sometimes a Charley horse shows up when a man is having lots of sex, especially when the position is doggie-style. In addition to the pain, a man may see a lump in his groin near the base of his penis.

While most times an ER doc will tell a man just to abstain from sex for a few days to a week, it’s still important to head in immediately. Any sudden lumps, swelling, or discoloration in the reproductive region should be inspected ASAP.

Big Penis Pain #5: Adult Toy-Adjacent

It’s no surprise that sex injuries can land a man in the ER. In addition to penile fractures, which most often happen during sex, adult sexual aides can also land a man at midnight admitting. Many of them come from homemade cock rings or putting things in the urethra. A short piece of advice: Don’t do it. Only use adult toys that are safe for use, and only use them according to instructions. Oh, and don’t fall asleep with anything around or in your penis.

Penis Protection

The bottom line is to protect the penis as all costs to prevent penis pain. Wear protective gear where and when appropriate, practice safe sex, and have a daily hygiene plan to maximize penile health. In addition to trimming the bushes and washing daily and after athletic pursuits, a man should use a penis health oil (health professionals recommend Man 1 Man Oil, which has been clinically proven safe and mild for skin) daily to keep the penis strong and vigorous. This oil topically distributes penis health helpers like vitamins A, B, C, and D, as well as alpha lipoic acids, L-arginine, and L-carnitine. Do this daily to boost blood flow for strong erections, keep bacteria at bay, and keep your penis young for years and years to come.