JAKARTA - When having sex with a partner, there are several things that must be considered, one of which is its position. This is because there are sex positions that if done can potentially cause serious injury.

According to the surgeon, Dr. Karan Raj, reverse cowgirl is a sex position with a high risk of injury. This is the position where the woman is above and facing the opposite direction or away from the male partner.

This position can be dangerous and cause penis fracture. The penis faction may sound strange because the penis has no bones, but in fact the term refers to the tearing of tunica albuginea, which is an elastic tissue surrounding the tissue of the penis erekil.

"The penis faction is a tear in tunica albuginea, a rubber-like tissue layer that allows the penis to grow at length and width during an erection," said Karan Raj, quoted from Vice, on Tuesday, November 4, 2025.

In the reverse cowgirl position, the risk of injury increases if the movement between the two pairs is not synchronous. When a penis accidentally comes out, then is exposed to sudden pressure from the bones of a woman's pubis, the penis can experience tearing.

"If the rhythm is not right, the penis can come out and be strongly depressed by the bones of the female pubis, which causes severe injury," he explained.

Such injuries are not only painful, but can also have a long-term impact if not handled properly. Raj's statement was also supported by medical research.

A study published in the 2014 journal Advances in Urology examines risk factors for the occurrence of penis fractures and finds that the most common relationship of these injuries. With the female position above either cowgirl or reverse cowgirl, which is most often associated as the main cause of penis fracture.

The study also confirmed that when movement control is on the side of women, the risk of penis slips and being exposed to hard pressure becomes higher. The symptoms of penis fracture will be felt immediately by men.

A man with a penis fracture can hear sounds such as fractures or cracks, accompanied by severe pain, sudden erectile loss, swelling, and color change in a penis stem.


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