Was searching for something entirely different (I'm reading a sleep neurology book) and then was sucked down some unrelated rabbit holes in the search results
Sleep-Related Painful Erections Following Sexual Intercourse
Pieter C. Barnhoorn1 • Woet L. Gianotten2 • Mels F. van Driel3
Received: 3 February 2017 / Revised: 4 October 2017 / Accepted: 1 December 2017
Abstract Sleep-related painful erections (SRPE) is a rare disorder characterized by recurrent painful nocturnal erections during REM sleep in the absence of pain during daytime erections. Approximately 35 cases of SRPE have been reported in the literature, none of them associated with preceding sexual intercourse. We add the report of a 40-year-old patient with a 6-year history of SRPE which only, but always, occurred after sexual intercourse with ejaculation in the evening before. As a result, the frequency of intercourse diminished, causing relationship problems. A non-pharmacological solution was found in shifting the time of sexual intercourse. The patient refused any proposed pharmacological treatment, because of‘‘not wanting to be a patient at his age.’’
Because his SRPE only occurred after having sexual intercourse the previous evening, his GP suggested the patient should have intercourse at other times of the day. As a result, the patient no longer experienced SRPE and this effect remained during the followup period of 3.5 years.
Unfortunately, despite this result, his current relationship ended for other reasons than shifting the time of sexual intercourse. In the last 3 years, he has had some short-lived relationships. He now is a schooled practitioner of tantric sex (defined by him as practices in which slow, mindful, non-orgasmic sexual union, or masturbation creates a path to the experience of spiritual ecstasy) and aims to eliminate all orgasms, both during intercourse and masturbation. Only a few times, in the last 3.5 years, he had sexual intercourse, including ejaculation in the evening. Without exception, these were followed by awakenings several times a night with a painful erection.
Painful Sexual Intercourse Caused by a Disproportionately Long Penis: An Historical Note on a Remarkable Treatment Devised by Guilhelmius Fabricius Hildanus (1560–1634)
Erwin J. O. Kompanje
Received: 6 December 2005 / Revised: 22 February 2006 / Accepted: 24 March 2006 / Published online: 10 October 2006
Abstract Between 1598 and 1641, the famous surgeon Guilhelmius Fabricius Hildanus (1560–1634) published 600 medical and surgical observations in his Observationum et curationum chirurgicarum centuriae I–VI. One of the case reports bears the title ‘Pain and infertility caused by a too large penis.’ The woman described in this case report most likely suffered from positional deep dyspareunia. Hildanus
invented in 1593 a remarkable made-to-measure device. This device was a very well-considered and faultless curative for the woman’s dyspareunia. It seemed that the dyspareunia had a simple cause: the disproportional large penis of the woman’s husband. Four hundred years later, Hildanus’ forgotten penis shortening device deserves a resurrection in today’s medical practice. This remarkable and almost forgotten case report is described and discussed.
I gave her advice, that her husband, before going to battle, should cover his belly with a shield, made of cork, as drawn in the figure (reproduced here in Fig. 1), which was covered with soft linen and wool, which should prevent the deep penetration of the penis: being as thick, as was sufficient to us, leading to a shortening of the too large length, in the middle a hole; on the outside smooth and even, on the inside hollow, for prominent hucklebones, but overall well lined. This shield he put on, making the art well: even she felt no pain, and she
even fancied it; which was shown by the result: because she was soon fertilized, and gave birth to a beautiful, well developed daughter, as I saw in the year 1611, with her mother and other children, born from her, at the city of Cologne.
This is a drawing of the masculine shield, with bandages, which should be tied together on the back, but its size should be determined from the size of the body and the size of the private parts.