Pain in the bedroom isn’t always a good thing. Sex-related injuries are surprisingly common, according to a 2014 study by dating app Meetville.com, which found that one third of adults injure themselves during sex every year. And honestly, if you’ve never slipped in the shower while doing it, you might be missing out on some mind-blowing moves.
Certain conditions—such as intoxication and odd locations (ahem, the shower)—definitely increase the chance of injuries, says sex therapist Madeleine Castellanos, M.D, author of Wanting to Want: What Kills Your Sex Life and How to Keep It Alive. Accidents happen, but you can take some preventative measures, says Castellanos.
Here are some common sex injuries she might sustain during sex—and how you can help prevent them.