>>3956
Lots of young children and sometimes young teens can be raped to death, but I don't know if you count that as an extreme size difference. Sometimes the difference is not huge. Remember that sex is "suppose" to be intimate, so it starts slower or both parties are already aroused and naturally lubricated. Without that arousal, if sex is too rough and fast it can cause a lot of damage. All it takes is a big enough tear to cause septic shock.