By Casey M. · Last updated September 2026
Peyronie's disease sex can still be close and satisfying when you pick gentler positions, go slow, and use the right aids.
Quick answer: With Peyronie's disease, sex works best when you avoid bending the penis. Choose positions where the person with the curve controls depth and angle, use plenty of lube, and stop if it hurts. When penetration is too hard, a hollow strap-on or sleeve worn over the penis, or external play, can keep sex enjoyable.
TL;DR
- Peyronie's is more common than most people think, and it is not your fault.
- See a urologist, especially while the curve is changing or erections hurt.
- Side-lying and controlled positions put less strain on a curved penis.
- Hollow strap-ons, extender sleeves and wands give you options beyond penetration.
How Peyronie's Disease Affects Sex
Peyronie's disease is scar tissue (plaque) inside the penis. It can make the erect penis bend, dent or shorten. Some people also get painful erections or softer erections.
It's more common than you might think. The NIDDK overview of Peyronie's disease says about 1 in 100 US men over 18 have been diagnosed, and more than 1 in 10 report symptoms when asked. It lists trouble with intercourse, erectile dysfunction and pain during sex among the possible effects.
The emotional side is real too. The Urology Care Foundation's Peyronie's page reports that over 75 out of 100 men with the condition feel stressed or depressed about it. If that's you, you're far from alone.
See a urologist first
Peyronie's often has an early phase, when the curve may change and erections may hurt. Later it usually settles. A urologist can check which phase you're in and talk through treatments like injections, traction therapy or surgery.
Sex toys don't straighten a curve or treat the plaque. They are there to help you keep having good sex while you and your doctor sort out the medical side.
Positions for Peyronie's Disease Sex
The main goal is simple: avoid sharp bending of the erect penis. The Urology Care Foundation notes that Peyronie's is often linked to vigorous sex, such as bending during penetration or pressure from a partner's pubic bone. So gentle, controlled positions are your friend.
- Side by side (spooning): slow, shallow movement with little weight on the penis.
- You on top or behind: the person with the curve controls depth, angle and speed.
- Edge of the bed: your partner lies back while you stand or kneel, so you can adjust your angle.
- Pillows under hips: tilt your partner's pelvis to match the direction of your curve.
Be careful with a partner on top bouncing hard. If the penis slips out and they come down on it, it can bend badly. If that position is a favorite, keep movements slow and grinding rather than up and down.
Small habits that help
Use lots of lube so nothing drags or catches. Enter slowly with a hand guiding the shaft. Agree on a word that means "stop now", and use it the moment anything hurts.
When to stop and get help
If you hear a pop or crack during sex, lose your erection suddenly, or see fast swelling or bruising, go to an emergency department right away. These can be signs of a penile injury that needs urgent care.
Also tell your urologist if your curve gets worse, new lumps appear, or pain during erections doesn't ease over time.
Hollow Strap-Ons and Sleeves
Sometimes the curve, pain or softer erections make penetration too hard. A hollow strap-on is a firm, straight shaft that you wear over your own penis with a harness. Your penis sits inside, and your partner feels a steady shaft.
The For Him or Her hollow strap-on is a simple place to start. It works best with a soft or semi-firm penis, so you're not forcing a curved erection into a straight sleeve. You can browse more styles in our hollow dildos and hollow strap-ons collection.
If you want something that feels more like part of you, the RealRock penis extender sleeve with sling slips over the shaft and adds length. It's a pleasure sleeve, not a medical traction device, and it won't change your curve.
Not sure which style suits you? Our comparison of a hollow strap-on vs penis sleeve explains how each one fits and feels. Check with your urologist before using any aid during the painful early phase.
Sex Beyond Penetration
Penetration is only one kind of sex. Hands, mouths, grinding and toys can all bring you and your partner to orgasm without putting any bend on the penis.
A body wand is great for this. The Swan rechargeable massage wand has a broad head and long handle. Use it on the underside of the shaft, the perineum, or your partner's clitoris during outercourse.
Vibration on the penis feels good for many people with Peyronie's, even with softer erections. Keep it gentle on any tender spots, and stop if it causes pain.
Talking With Your Partner
A curved penis can bring up embarrassment or worry about letting a partner down. Many partners care far less about the curve than you'd expect. They mostly want to know what feels good and what to avoid.
Talk about it outside the bedroom first. Explain what hurts, which positions feel safe, and what you'd like to try. Toys and sleeves are easier to bring in when you pick them together.
Key Takeaways
- Peyronie's disease sex is still possible, and you're far from alone with it.
- See a urologist, especially during the painful early phase.
- Choose controlled positions, use plenty of lube, and avoid bending the penis.
- Hollow strap-ons and sleeves help when penetration is difficult, but they don't treat the curve.
- External play with a wand keeps pleasure going without any strain.
This guide is general information, not medical advice. Check with your healthcare provider about your own situation.