As fun as sex can be, it can also be surprisingly dangerous. Who knew that every time you get intimate, you’re risking a wide array of sex-related injuries? A survey of data from the National Electronic Injury Surveillance System found 450 cases of sex-related injuries logged over the course of six years. So while they’re fairly rare, you don’t want to become one of the many statistics who land in emergency rooms or doctors’ offices every year due to an injury sustained during sex. There are precautions you can take to make sure you don’t end up in the hospital explaining your embarrassing story of coitus gone wrong to your doctor.

Here are some of the most common sex injuries that can happen and the ways you can avoid them.