Top Definition
1) Two people, male and female, having butt sex so vigorously that they may burst a vein or blood vessel
2) Anal sex that is so rough that the male pushes so hard a vein pops out of his head (not the head down south)
1. We pulled a pennsylvania vein popper last night and I had to go to the doctors to get it checked.
2. " I think he almost died last night after we did a pennsylvania vein popper."
by Beast a.k.a dave April 11, 2008

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