★
Physical effort: High Standing

Apex: suspended rear-entry position with a stool

Apex is a demanding standing position with rear entry, close to the standing wheelbarrow. The receiving partner holds herself up with straight arms on the seat of a tall, sturdy stool, her body almost horizontal and off the ground, with her bent knees wrapped around her partner's hips. He stands behind her, supports her thighs and sets the pace. It allows deep vaginal penetration, but it calls for strength, balance and very stable furniture.

Also known as: Standing wheelbarrow with a stool

Be the first to rate it
Illustration of Apex: Advanced standing position: she is held in the air from behind, with her hands on a tall stool.
Anatomy and biomechanics

The receiving partner faces away from her partner with both hands on the seat of a tall stool, arms straight and wrists under the shoulders. Her body is held almost horizontal in the air, and neither foot touches the floor. Her knees are bent and wrapped around his hips, with her feet behind him. The penetrating partner stands upright behind her, feet apart, and holds her thighs and hips against his pelvis, so part of her weight rests on him and the rest on her arms. Penetration is vaginal and can be deep. He sets the rhythm, while she mainly holds the position and guides him with words. There is no eye contact or kissing, and body contact is limited to the pelvis, the thighs and his hands.

Why this position works

Some couples are drawn to Apex for the challenge and the novelty: it is an athletic position that feels nothing like what happens on a bed. With her body held horizontal, the angle from behind can allow deep penetration, which some people find intense. The standing partner has full control of the movement, and some couples enjoy that play of trust and surrender. It is a position to try now and then for a short while rather than to stay in for long. Sensations vary from person to person.

Variations of this position

Variation 1: on the forearms

She rests her forearms on the stool seat instead of holding herself up on straight arms.

Resting on the forearms lowers her chest, takes the load off her wrists and tilts her pelvis slightly upward, which changes the angle of entry. Her legs stay wrapped around his hips, and he still holds her thighs and sets the pace.

  1. From the base position, pause and keep still while she bends one elbow and then the other.
  2. She rests both forearms flat on the stool seat, with a folded towel underneath if it is hard.
  3. He adjusts his grip on her thighs and bends his knees slightly if he needs to line up his hips with hers again.
  4. Start again slowly, with short, controlled movements.

Variation 2: hands on the edge of the bed

The stool is replaced by the edge of the bed, a wider and more stable support for her hands.

The mattress is lower than a stool, so her body slopes slightly head-down and her hands rest on a wider, softer surface; if she loses her grip, she lands on the bed. It is the most accessible way to try the position. Everything else stays the same: her legs around his hips, and him standing behind, holding her thighs.

  1. She kneels at the edge of the bed facing the mattress, places both hands on it and straightens her arms.
  2. He stands on the floor behind her and holds her thighs.
  3. He lifts her legs one at a time, and she wraps her bent knees around his hips, with her feet behind him.
  4. He adjusts his stance until their hips line up and starts with slow, short movements.

Variation 3: with legs extended

She stretches her legs back along his sides instead of wrapping her bent knees around his hips.

With her legs extended, as in the classic wheelbarrow, he holds her higher up the thighs and carries more of her weight in his arms, while her body stays straighter and more horizontal. Some couples find depth easier to control this way, but it asks more of his arms and back.

  1. Start from the base position, with her hands on the stool.
  2. She relaxes her knees and stretches her legs back along his sides.
  3. He holds her thighs firmly against his hips, keeping his back straight and his knees slightly bent.
  4. Move slowly, and stop as soon as his arms or back tire, letting her come down feet first.

✓ Tips

  • Use a tall, heavy stool with four legs that cannot tip or slide, ideally pushed against a wall and on a non-slip floor; a light stool, a swivel chair or one on wheels is not safe.
  • Only try it if the standing partner has the strength to hold part of the other's weight and you both feel steady; if either of you loses balance, stop and come down calmly.
  • Get into position slowly: she places her hands on the seat first, then he lifts one thigh at a time while she wraps her legs around his hips. Come down the same way, feet first.
  • Keep the thrusts controlled: from behind and with her suspended, a hard, misdirected thrust can bend the penis. If it slips out, guide it back in by hand.
  • Use lubricant, go deeper gradually and agree on a simple signal to slow down or stop; use a condom if you need protection against STIs or pregnancy.
  • Keep it short: it loads her wrists and shoulders and his lower back. Take breaks and stop if there is any pain.

Key facts

Interaction type
Vaginal penetration from behind, with the receiving partner suspended
Active anatomy
Penis
Receptive anatomy
Vagina
Main stimulation
Deep vaginal penetration from behind, with the receiving partner held in the air
Setups and participants
Couple · 2 people Hetero

Frequently asked questions

Is Apex suitable for beginners?

Not really. It requires strength, balance and coordination from both partners, and the source it comes from rates it as risky. It is better to start with gentler versions, such as resting her hands on the edge of the bed, and to try Apex only when you both feel confident.

What kind of furniture works best?

A tall, heavy, sturdy stool or chair that does not tip, wobble or slide, placed against a wall on a non-slip floor. Avoid swivel chairs, furniture on wheels and light stools.

What can we do if her wrists or his back get tired?

Stop and come down slowly, feet first. Next time, try resting her forearms on the seat or her hands on the edge of the bed, keep it short, and switch to a more relaxed position whenever you need to.

Does it allow deep penetration?

It can, because the angle from behind lets the bodies come close. Depth depends on each body and on the angle, so go gradually and agree on a signal to slow down or stop.

Safety and evidence 7 topics · 14 clinical and academic references

This section summarizes anatomical and clinical evidence relevant to this position. The sources provide context; they do not show that a specific position guarantees pleasure, orgasm or a particular type of stimulation.

G-spot: what the evidence says

The “G-spot” is a widely used term for a sensitive area of the anterior vaginal wall. Scientific literature has not demonstrated a discrete anatomical structure with an agreed location, size and nature; sensitivity and response can vary from person to person.

Sources
O'Connell HE, Sanjeevan KV, Hutson JM. Anatomy of the clitoris. The Journal of Urology. 2005. PubMed ↗
Vieira-Baptista P, et al. G-spot: Fact or Fiction? A Systematic Review. Sexual Medicine. 2021. PubMed ↗

A-spot / AFE zone: limited evidence

The “A-spot” or AFE zone has been proposed as a term for a deep area of the anterior vaginal wall. The available evidence is limited and does not support treating it as a confirmed anatomical structure.

Sources
Chua Chee Ann. A proposal for a radical new sex therapy technique… the AFE Zone Stimulation Technique. Sexual and Marital Therapy. 1997. Original article ↗

Anatomical variability

Vaginal shape, axis and dimensions vary considerably from person to person. As a result, depth and comfort may differ even when using the same position.

Sources
Barnhart KT, et al. Baseline dimensions of the human vagina. Human Reproduction. 2006. PubMed ↗
Luo J, et al. Quantitative analyses of variability in normal vaginal shape and dimension on MR images. International Urogynecology Journal. 2016. PubMed ↗

Pain and deep penetration

If penetration causes deep, recurrent or persistent pain, it is advisable to reduce the depth or stop the activity. If the problem continues, a professional assessment is recommended.

Sources
Carlson K, Mikes BA. Dyspareunia. StatPearls / NCBI Bookshelf. Updated 2026. PubMed ↗
American College of Obstetricians and Gynecologists. Female Sexual Dysfunction: Practice Bulletin No. 213. Obstetrics & Gynecology. 2019. PubMed ↗

Lubrication and comfort

When there is dryness, friction or discomfort, a suitable lubricant may make sexual activity easier and improve comfort. Its use is not universally necessary.

Sources
World Health Organization. WHO recommendations on self-care interventions: availability of lubricants during sexual activity. 2024. WHO ↗
Vanderschee R, Kostov S. Approach to lubricant use for sexual activity. Canadian Family Physician. 2025. PubMed ↗

Penile fracture: prevention and warning signs

It is uncommon, but it can happen when the erect penis bends suddenly, often after slipping out and hitting the partner’s pubic bone or perineum. Moving with control and slowing down if the penis slips out helps prevent it.

Sources
International Society for Sexual Medicine (ISSM). Is it possible to break your penis? 2024. ISSM ↗
Barros R, Schulze L, Ornellas AA, Koifman L, Favorito LA. Relationship between sexual position and severity of penile fracture. Int J Impot Res. 2017;29(5):207-209. PubMed ↗
Reis LO, Cartapatti M, Marmiroli R, de Oliveira Júnior EJ, Saade RD, Fregonesi A. Mechanisms predisposing penile fracture and long-term outcomes on erectile and voiding functions. Adv Urol. 2014;2014:768158. PMC ↗

STI protection: condoms and dental dams

A condom, put on from the start and used throughout, is the most effective way to reduce sexually transmitted infections during penetration. For oral sex, a condom or a dental dam lowers the risk.

Sources
World Health Organization. Condoms (fact sheet). Ginebra: WHO, 2025. WHO ↗
Centers for Disease Control and Prevention. About STI risk and oral sex. Atlanta: CDC. CDC ↗

View the full safety and evidence system

Reviewed by Francisco Muñoz, editor ·

Related sex positions

Sex position Iron Throne: A reversed doggy style: she kneels with her chest and face on the floor and hips raised, while he half-squats over her pelvis facing towards

Iron Throne

Be the first to rate it

A reversed doggy style: she kneels with her chest and face on the floor and hips raised, while he half-squats over…

Vaginal penetration from above in a reversed doggy style, with the penetrating partner half-squattin Effort: High Posterior
Sex position Dolphin: A standing position from behind: she bends forward on one leg and hooks the other around his waist while he penetrates her from behind.

Dolphin

Be the first to rate it

A standing position from behind: she bends forward on one leg and hooks the other around his waist while he…

Standing vaginal penetration from behind, with her on one leg Effort: High Standing