About the most painful experience I've had was with an ex-girlfriend. We were going at it one night, her riding on top, I was completely buried inside of her, and she had an extremely intense orgasm. She sort of collapsed, and kinda slid off the top of me to one side. Or attemped to at least, because she was clamped down on my penis so hard she wasn't really going anywhere. Needless to say I was sore for a few days.
As far as other injuries....hmmm....a girl slipping while getting on top of me and planting her knee in my balls, assorted scratches from nails, bite marks, unexplained bruises....etc.
As mentioned by others, it is possible to get kicked in the head/face while having sex. It hurts like hell.
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I've got the love of my life and a job that I enjoy most of the time. Life is good.
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