Oral sex

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Painting of a man performing oral sex on a woman Achille Deveria erotism.jpg
Painting of a man performing oral sex on a woman

Oral sex, sometimes referred to as oral intercourse, is sexual activity involving the stimulation of the genitalia of a person by another person using the mouth (including the lips, tongue, or teeth). Cunnilingus is oral sex performed on the vulva while fellatio is oral sex performed on the penis. [1] [2] Anilingus, another form of oral sex, is oral stimulation of the anus. [1]

Contents

Oral sex may be performed as foreplay to incite sexual arousal before other sexual activities (such as vaginal or anal intercourse), [1] [3] or as an erotic and physically intimate act in its own right. [1] [2] Like most forms of sexual activity, oral sex can pose a risk for contracting sexually transmitted infections (STIs). However, the transmission risk for oral sex, especially HIV transmission, is significantly lower than for vaginal or anal sex. [4] [5] [6]

Oral sex is often regarded as taboo, [1] but most countries do not have laws which ban the practice. Commonly, people do not think of oral sex as affecting the virginity of either partner, though opinions on the matter vary. [7] [8] [9] [10] People may also have negative feelings or sexual inhibitions about giving or receiving oral sex, or may flatly refuse to engage in the practice. [1]

Practice

Woman performing fellatio Wiki-fellatio.png
Woman performing fellatio

Oral sex may be practiced by people of any sexual orientation.

Forms

Oral sex is sexual stimulation of another person's genitals by using the mouth, and may take various forms. During facesitting, the receiver sits on the giver's face and pushes into it with their genitals. Oral sex can also be performed by both partners at the same time in the so-called "sixty-nine" position. Irrumatio is a forced form of fellatio where one actively forces their penis into the partner's mouth. In regards to masturbation, there is autofellatio, a possible but rare variant, and autocunnilingus, which may be possible for women with extremely flexible spines. [11]

An act of group sex restricted to one woman giving oral sex to several men is referred to as a gangsuck, blowbang or lineup, all derivatives of the slang term gang bang for group sex. Bukkake and gokkun may also involve oral sex.

Preserving virginity

A 17th century sculpture depicting a woman performing oral sex on two men. From the wall of the Uma Maheshwor Temple at Kirtipur. Umamaheshwor Temple-IMG 4035.jpg
A 17th century sculpture depicting a woman performing oral sex on two men. From the wall of the Uma Maheshwor Temple at Kirtipur.

Oral sex may be practised to preserve virginity, especially among heterosexual pairings; this is sometimes termed technical virginity (which may include anal sex, manual sex, and other non-penetrative sex acts, but excludes penile-vaginal sex). [7] [8] [9] [12] The concept of "technical virginity" or sexual abstinence through oral sex is popular among teenagers. [13] [14]

Gay men who regard oral sex as a way of maintaining their virginities view penile-anal penetration as resulting in virginity loss, while other gay males may define oral sex as their main form of sexual activity. [7] [15] By contrast, lesbian pairings commonly view oral sex or fingering as resulting in virginity loss, though definitions of virginity loss vary among lesbians as well. [7] [10] [16]

Contraception and safe sex

Oral sex alone does not result in pregnancy and heterosexual couples may engage in oral sex for contraception reasons. [2] [17] [18] For conception to take place, sperm from the penis must enter the uterus and fallopian tubes and fertilize the female's egg. In humans, there is no connection between the gastrointestinal system and the reproductive system, [nb 1] and sperm ingested by the woman would be killed and broken down by acids in her stomach and proteins in the small intestine. The breakdown products are then absorbed as a negligible quantity of nutrients. However, there is a potential risk of pregnancy if semen comes in contact with the vaginal area in some way, such as semen in the ejaculate finding its way onto fingers, hands, or other body parts, which then comes in contact with the vaginal area.[ citation needed ]

Oral sex is not necessarily an effective method of preventing sexually transmitted infections (STIs), although some forms of STIs are believed to be less commonly spread in this way, and oral sex has been recommended as a form of safe sex. [19] [20] [21] In the United States, no barrier methods for use during oral sex have been evaluated as effective by the Food and Drug Administration. [22] However, a barrier protection like a condom for fellatio or dental dam for cunnilingus can offer some protection from contact when practicing oral sex. [14]

Oral sex should be limited to the protected areas. A makeshift dental dam can be made out of a condom [23] or a latex or nitrile glove, [24] but using a real dental dam is seen as preferable; this is because real dental dams cover a larger area, avoid accidents caused by "slipping" outside the covered area, and avoid the risk that makeshift versions may be accidentally damaged or poked with the scissors during the cutting procedure. Plastic wrap may also be used as a barrier during oral sex, but there exists no conclusive scientific research regarding how effective it may or may not be at preventing disease transmission. Certain kinds of plastic wrap are manufactured to be microwaveable and are designed to have pores that open when heated, but there also exists no scientific research on what effect, if any, this has on disease transmission when used during oral sex. [25] Some people complain that the thickness of the plastic dulls sensation.

Prevalence

A report issued by the National Center for Health Statistics in 2005 was the basis of an article in the 26 September 2005 issue of Time magazine. The report comes from the results of a computer-administered survey of over 12,000 Americans between the ages of 15 and 44, and states that over half the teenagers questioned have had oral sex. While some headlines have interpreted this as evidence that oral sex among teenagers is "on the rise", this was the first comprehensive study of its kind to examine the matter. [26] The Centers for Disease Control and Prevention (CDC) stated in 2009: "Studies indicate that oral sex is commonly practiced by sexually active male-female and same-gender couples of various ages, including adolescents." [14] Research also indicates that "males are more likely than females to have received oral sex, whereas equal proportions of men and women have given oral sex." [1]

In a Canadian study, 89% of heterosexual and bisexual men had practiced cunnilingus. 94% of them enjoyed it. Of the latter, 76% practiced it often or very often. Reasons for not practicing cunnilingus included lack of opportunity (73%) and disgust (13%). This suggests that much more than 89% of men would practice cunnilingus if they had a chance. [27]

Health risks and other studies

Sexually transmitted infections

Some sexually transmitted infections (STIs), such as Chlamydia and human papillomavirus (HPV), can be transmitted through oral sex. [4] [5] [28] [29] Any sexual exchange of bodily fluids with a person infected with HIV, the virus that causes AIDS, poses a risk of infection. Risk of STI infection, however, is generally considered significantly lower for oral sex than for vaginal or anal sex, with HIV transmission considered the lowest risk with regard to oral sex. [5] [6] [30] [31]

There is an increased risk of STI transmission if the receiving partner has wounds on their genitals, or if the giving partner has wounds or open sores on or in their mouth, or bleeding gums. [5] [6] [14] Brushing the teeth, flossing, undergoing dental work soon before or after performing oral sex can also increase the risk of transmission, because all of these activities can cause small scratches in the lining of the mouth. [5] [6] These wounds, even when they are microscopic, increase the chances of contracting STIs that can be transmitted orally under these conditions. [5] [6] Such contact can also lead to more mundane infections from common bacteria and viruses found in, around and secreted from the genital regions. Because of the aforementioned factors, medical sources advise the use of condoms or other effective barrier methods when performing or receiving oral sex with a partner whose STI status is unknown. [4] [5] [6] [28]

Links have been reported between oral sex and oral cancer with human papillomavirus (HPV)-infected people. In 2005, a research study at Malmö University's Faculty of Odontology suggested that performing unprotected oral sex on a person infected with HPV might increase the risk of oral cancer. The study found that 36 percent of the cancer patients had HPV compared to only 1 percent of the healthy control group.

Another study in The New England Journal of Medicine suggests a correlation between oral sex and throat cancer. It is believed that this is due to the transmission of HPV, a virus that has been implicated in the majority of cervical cancers and which has been detected in throat cancer tissue in numerous studies. The study concludes that people who had one to five oral sex partners in their lifetime had approximately a doubled risk of throat cancer compared with those who never engaged in this activity and those with more than five oral sex partners had a 250 percent increased risk. [32] [33]

Miscarriage reduction

Fellatio may reduce the risk of miscarriages by inducing immunological tolerance in the woman by exposure to the proteins in her partner's semen, a process known as paternal tolerance. While any exposure to a partner's semen appears to decrease a woman's chances for the various immunological disorders that can occur during pregnancy, immunological tolerance could be most quickly established through the oral introduction and gastrointestinal absorption of semen. [34] [35] [36] Recognizing that some of the studies potentially included the presence of confounding factors, such as the possibility that women who regularly perform fellatio and swallow semen also engage in more frequent intercourse, the researchers also noted that, either way, "the data still overwhelmingly supports the main theory" behind all their studies—that repeated exposure to semen establishes the maternal immunological tolerance necessary for a safe and successful pregnancy. [36] [37]

Cultural views

A 19th-century depiction of cunnilingus Detail of Edouard-Henri Avril (23).jpg
A 19th-century depiction of cunnilingus

Cultural views on oral sex range from aversion to high regard. [1] It, especially fellatio, [38] has been deemed taboo, or at least discouraged, in many cultures and parts of the world. [1] Laws of some jurisdictions consider oral sex to be penetrative sex for the purposes of sexual offenses with regard to the act, but most countries do not have laws which ban the practice itself, in contrast to anal sex or extramarital sex.

In Ancient Rome, fellatio was considered profoundly taboo. [39] Sexual acts were generally seen through the prism of submission and control. This is apparent in the two Latin words for the act: irrumare (to penetrate orally), and fellare (to be penetrated orally). Under this system, it was considered to be abhorrent for a male to perform fellatio, since that would mean that he was penetrated (controlled), whereas receiving fellatio from a woman or another man of lower social status (such as a slave or debtor) was not humiliating. The Romans thought of oral sex as being far more shameful than, for example, anal sex – known practitioners were supposed to have foul breath and were often unwelcome as guests at a dinner table. [39] This was highlighted in Roman attitudes towards irrumatio, in which it was strictly considered a form of oral rape, and any man who irrumated another person was considered to be extremely virile. [40] Irrumatio was so degrading in Roman society in fact that it was often used as a method of punishment. [40]

In contrast to historical views on fellatio, cunnilingus is revered as a spiritually fulfilling practice in Chinese Taoism, which regards it as having the ability to enhance longevity. [41] In modern Western culture, oral sex is widely practiced among adolescents [26] and adults. [1]

People give various reasons for their dislike of oral sex. [1] Some state that since it does not result in reproduction, it is therefore unnatural. [42] Others find it less intimate because it is not a face-to-face practice, [1] or believe that it is a humiliating or unclean practice; [1] [43] that it is humiliating or unclean are opinions that are, at least in some cases, connected with the symbolism attached to different parts of the body. [43] Opposite these views, people also believe that oral sex "is one of the most intimate behaviors that a couple can engage in because it requires total trust and vulnerability." [1]

While commonly believed that lesbian sexual practices involve cunnilingus for all women who have sex with women (WSW), some have an aversion to cunnilingus due to not liking the experience or psychological or social factors, such as finding it unclean. [44] [45] [46] [47] Other WSW believe that it is a necessity or largely defines lesbian sexual activity. [46] [47] Lesbian couples are more likely to consider a woman's dislike of cunnilingus as a problem than heterosexual couples are, and it is common for them to seek therapy to overcome inhibitions regarding it. [46]

Terminology and slang

There are many words which refer to oral sex, including euphemisms and sexual slang. Like all aspects of sexuality, there exists a large number of variations on a theme, a few common ones being:

Other slang terms for oral sex include going down on (male or female), licking out and muff diving (female), blow job (male), dome (male or female), sucking off (male), playing the skin flute (male recipient), rolling cigars (male recipient), lolly-gagging (gay male-on-male), gaining knowledge (male recipient) and bust down (male). Forced fellatio is often called Egyptian rape or simply Egyptian; this goes back to the time of the Crusades when Mamluks were alleged to force their Christian captives to do this. [49]

Other animals

Female bats perform fellatio to increase copulation time.

Oral sex has been observed in the animal kingdom among many species. [50] [51] It has been suggested that there is an evolutionary advantage due to the tendency of primates, non-primates and humans to have oral sex. [52] Fellatio occurs with the fruit bat ( Cynopterus sphinx ); it has been observed when the bats are mating. These bat pairs spend more time copulating if the female licks the male than if she does not. [53] [54]

Unlike many other animals, fish from the genus Corydoras reproduce orally. The male faces perpendicularly to the female so that she may be able to attach to his reproductive apparatus. He then releases sperm into the mouth of the female, crossing her digestive system and fertilising her eggs. [55]

See also

Related Research Articles

Anal sex or anal intercourse is generally the insertion and thrusting of the erect penis into a person's anus, or anus and rectum, for sexual pleasure. Other forms of anal sex include anal fingering, the use of sex toys, anilingus, pegging, as well as electrostimulation and erotic torture such as figging. Although anal sex most commonly means penile–anal penetration, sources sometimes use anal intercourse to exclusively denote penile–anal penetration, and anal sex to denote any form of anal sexual activity, especially between pairings as opposed to anal masturbation.

<span class="mw-page-title-main">Fellatio</span> Oral sex on the penis by a sexual partner

Fellatio is an oral sex act consisting of the stimulation of a penis by using the mouth. Oral stimulation of the scrotum may also be termed fellatio, or colloquially as teabagging.

<span class="mw-page-title-main">Sexual intercourse</span> Penetrative sexual activity for reproduction or sexual pleasure

Sexual intercourse is a sexual activity typically involving the insertion and thrusting of the male penis inside the female vagina for sexual pleasure, reproduction, or both. This is also known as vaginal intercourse or vaginal sex. Sexual penetration has been known by humans since the dawn of time, and has been an instinctive form of sexual behaviour and psychology among humans. Other forms of penetrative sexual intercourse include anal sex, oral sex, fingering and penetration by use of a dildo, and vibrators. These activities involve physical intimacy between two or more people and are usually used among humans solely for physical or emotional pleasure. They can contribute to human bonding.

<span class="mw-page-title-main">Safe sex</span> Ways to reduce the risk of acquiring STIs

Safe sex is sexual activity using methods or contraceptive devices to reduce the risk of transmitting or acquiring sexually transmitted infections (STIs), especially HIV. "Safe sex" is also sometimes referred to as safer sex or protected sex to indicate that some safe sex practices do not eliminate STI risks. It is also sometimes used colloquially to describe methods aimed at preventing pregnancy that may or may not also lower STI risks.

<span class="mw-page-title-main">Virginity</span> State of a person who has never engaged in sexual intercourse

Virginity is the state of a person who has never engaged in sexual intercourse; it is considered a social construct, not an objective term with an operational definition. Social definitions of virginity therefore vary. Heterosexual individuals may or may not consider loss of virginity to occur only through penile-vaginal penetration, while people of other sexual orientations often include oral sex, anal sex, or manual sex in their definitions of losing one's virginity. The term virgin encompasses a range of definitions, as found in traditional, modern and ethical concepts. Religious rituals for regaining virginity exist in many cultures. Some men and women consider themselves born-again virgins.

<span class="mw-page-title-main">Sexual penetration</span> Sexual activity that involves inserting a persons body part into another person

Sexual penetration is the insertion of a body part or other object into a body orifice, such as the mouth, vagina or anus, as part of human sexual activity or sexual behavior in non-human animals.

<span class="mw-page-title-main">Frot</span> Penis-to-penis sexual contact

Frot or frotting is a sexual practice between men that usually involves direct penis-to-penis contact. The term was popularized by gay male activists who disparaged the practice of anal sex, but has since evolved to encompass a variety of preferences for the act, which may or may not imply particular attitudes towards other sexual activities. This can also be used as some type of foreplay.

<span class="mw-page-title-main">Mammary intercourse</span> Non-penetrative sex act

Mammary intercourse is a sex act, performed as either foreplay or as non-penetrative sex, that involves the stimulation of a man's penis by a woman's breasts and vice versa. It involves placing the penis between a woman's breasts and moving the penis up and down to simulate sexual penetration and to create sexual pleasure.

<span class="mw-page-title-main">Men who have sex with men</span> Behavioral category

Men who have sex with men (MSM) are men who engage in sexual activity with other men, regardless of their sexual orientation or sexual identity. The term was created by epidemiologists in the 1990s, to better study and communicate the spread of sexually transmitted infections such as HIV/AIDS between all sexually active males, not strictly those identifying as gay, bisexual, pansexual or various other sexualities, but also for example male prostitutes. The term is often used in medical literature and social research to describe such men as a group. It does not describe any specific kind of sexual activity, and which activities are covered by the term depends on context. The alternative term "males who have sex with males" is sometimes considered more accurate in cases where those described may not be legal adults.

<span class="mw-page-title-main">Bareback (sexual act)</span> Sexual penetration without the use of a condom

Bareback sex is physical sexual activity, especially sexual penetration, without the use of a condom. The topic primarily concerns anal sex between men without the use of a condom, and may be distinguished from unprotected sex because bareback sex denotes the deliberate act of forgoing condom use.

<span class="mw-page-title-main">Women who have sex with women</span> Sexual identity-neutral term

Women who have sex with women (WSW) are women who engage in sexual activities with women, whether they identify as straight, lesbian, bisexual, pansexual, have other sexualities, or dispense with sexual identification altogether. The term WSW is often used in medical literature to describe such women as a group for clinical study, without needing to consider sexual self-identity.

The sexuality of US adolescents includes their feelings, behaviors and development, and the place adolescent sexuality has in American society, including the response of the government, educators, parents, and other interested groups.

<span class="mw-page-title-main">Non-penetrative sex</span> Sexual activity that usually excludes penetration

Non-penetrative sex or outercourse is sexual activity that usually does not include sexual penetration, but some forms, particularly when termed outercourse, include penetrative aspects, that may result from forms of fingering or oral sex. It generally excludes the penetrative aspects of vaginal, anal, or oral sex, but includes various forms of sexual and non-sexual activity, such as frottage, manual sex, mutual masturbation, kissing, or hugging.

<span class="mw-page-title-main">Sexual practices between women</span> Sexual activity between women

Sexual activities involving women who have sex with women (WSW), regardless of their sexual orientation or sexual identity, can include oral sex, manual sex, or tribadism. Sex toys may be used.

<span class="mw-page-title-main">Sexually transmitted infection</span> Infection transmitted through human sexual behavior

A sexually transmitted infection (STI), also referred to as a sexually transmitted disease (STD) and the older term venereal disease (VD), is an infection that is spread by sexual activity, especially vaginal intercourse, anal sex, oral sex, or sometimes manual sex. STIs often do not initially cause symptoms, which results in a risk of transmitting them on to others. The term sexually transmitted infection is generally preferred over sexually transmitted disease or venereal disease, as it includes cases with no symptomatic disease. Symptoms and signs of STIs may include vaginal discharge, penile discharge, ulcers on or around the genitals, and pelvic pain. Some STIs can cause infertility.

<span class="mw-page-title-main">Creampie (sexual act)</span> Sexual act involving internal ejaculation

A creampie is a sexual act featured in hardcore pornography in which a man ejaculates inside his partner's vagina without the use of a condom, resulting in visible seeping or dripping of semen from the orifice.

<span class="mw-page-title-main">Handjob</span> Manual stimulation of a penis by a sex partner

A handjob is a manual sex act involving a person stimulating the penis or scrotum of another by using the hand. This is done to induce an erection for sexual pleasure, sexual arousal and may result in orgasm and ejaculation.

<span class="mw-page-title-main">Cunnilingus</span> Oral sex on the vulva by a sexual partner

Cunnilingus is an oral sex act consisting of the stimulation of a vulva by using the tongue and lips. The clitoris is the most sexually sensitive part of the vulva, and its stimulation may result in a woman becoming sexually aroused or achieving orgasm.

<span class="mw-page-title-main">Anilingus</span> Orally stimulating the anus of another person

Anilingus is an oral and anal sex act in which one person stimulates the anus of another by using their tongue or lips.

The following outline is provided as an overview of and topical guide to human sexuality:

References

Explanatory notes

  1. However, this has happened in bizarre circumstances Archived August 18, 2021, at the Wayback Machine involving a stabbing.

Citations

  1. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Janell L. Carroll (2009). Sexuality Now: Embracing Diversity . Cengage Learning. pp. 265–267. ISBN   978-0-495-60274-3 . Retrieved August 29, 2013.
  2. 1 2 3 Weiten, Wayne; Lloyd, Margaret A.; Dunn, Dana S.; Hammer, Elizabeth Yost (2008). Psychology Applied to Modern Life: Adjustment in the 21st century . Boston, Massachusetts: Cengage Learning. p. 422. ISBN   978-0-495-55339-7 . Retrieved February 26, 2011.
  3. "What is oral sex?". NHS Choices . NHS. January 15, 2009. Archived from the original on October 1, 2010.
  4. 1 2 3 "Global strategy for the prevention and control of sexually transmitted infections: 2006–2015. Breaking the chain of transmission" (PDF). World Health Organization. 2007. Archived (PDF) from the original on March 23, 2014. Retrieved November 26, 2011.
  5. 1 2 3 4 5 6 7 Dianne Hales (2008). An Invitation to Health Brief 2010-2011 . Cengage Learning. pp. 269–271. ISBN   978-0-495-39192-0 . Retrieved August 29, 2013.
  6. 1 2 3 4 5 6 Alexander, William; Bader, Helaine; LaRosa, Judith H. (2011). New Dimensions in Women's Health. Burlington, Massachusetts: Jones & Bartlett Publishers. p. 211. ISBN   978-1-4496-8375-7. Archived from the original on July 15, 2014. Retrieved August 29, 2013.
  7. 1 2 3 4 See here Archived December 1, 2016, at the Wayback Machine and pages 47-49 Archived December 1, 2016, at the Wayback Machine for views on what constitutes virginity loss and therefore sexual intercourse or other sexual activity; source discusses how gay and lesbian individuals define virginity loss, and how the majority of researchers and heterosexuals define virginity loss/"technical virginity" by whether or not a person has engaged in penile-vaginal sex. Carpenter, Laura M. (2005). Virginity Lost: An Intimate Portrait of First Sexual Experiences. New York City: NYU Press. ISBN   978-0-8147-1652-6. Archived from the original on April 28, 2021. Retrieved October 9, 2011.
  8. 1 2 Bryan Strong; Christine DeVault; Theodore F. Cohen (2010). The Marriage and Family Experience: Intimate Relationship in a Changing Society . Cengage Learning. p. 186. ISBN   978-0-534-62425-5 . Retrieved October 8, 2011. Most people agree that we maintain virginity as long as we refrain from sexual (vaginal) intercourse. But occasionally we hear people speak of 'technical virginity' [...] Data indicate that 'a very significant proportion of teens ha[ve] had experience with oral sex, even if they haven't had sexual intercourse, and may think of themselves as virgins' [...] Other research, especially research looking into virginity loss, reports that 35% of virgins, defined as people who have never engaged in vaginal intercourse, have nonetheless engaged in one or more other forms of heterosexual sexual activity (e.g., oral sex, anal sex, or mutual masturbation).
  9. 1 2 Sonya S. Brady & Bonnie L. Halpern-Felsher (2007). "Adolescents' Reported Consequences of Having Oral Sex Versus Vaginal Sex". Pediatrics . 119 (2): 229–236. CiteSeerX   10.1.1.321.9520 . doi:10.1542/peds.2006-1727. PMID   17272611. S2CID   17998160.
  10. 1 2 Blank, Hanne (2008). Virgin: The Untouched History. New York City: Bloomsbury Publishing US. p. 253. ISBN   978-1-59691-011-9 . Retrieved October 8, 2011.
  11. Liggio, Fernando (2010). "Trattato moderno di psicopatologia della sessualità" - "Modern treatise on the psychopathology of sexuality". Biblioteca Universitaria. p. 65. ISBN   978-8-86292-023-0 . Retrieved October 19, 2023.(in Italian)
  12. Ken Plummer (2002). Modern Homosexualities: Fragments of Lesbian and Gay Experiences. Routledge. pp. 1920–1921. ISBN   978-1-134-92242-0. Archived from the original on January 12, 2016. Retrieved August 24, 2013. The social construction of 'sex' as vaginal intercourse affects how other forms of sexual activity are evaluated as sexually satisfying or arousing; in some cases whether an activity is seen as a sexual act at all. For example, unless a woman has been penetrated by a man's penis she is still technically a virgin even if she has had lots of sexual experience.
  13. Jayson, Sharon (October 19, 2005). "'Technical virginity' becomes part of teens' equation". USA Today. Archived from the original on April 28, 2011. Retrieved August 7, 2009.
  14. 1 2 3 4 "Oral Sex and HIV Risk" (PDF). Centers for Disease Control and Prevention (CDC). June 2009. Archived from the original (PDF) on May 10, 2013. Retrieved August 30, 2013.
  15. Joseph Gross, Michael (2003). Like a Virgin. Here Publishing. pp. 44–45. 0001-8996. Archived from the original on May 3, 2021. Retrieved March 13, 2011.{{cite book}}: |work= ignored (help)
  16. Karen Bouris (1995). The first time: what parents and teenage girls should know about "losing your virginity". Conari Press. pp. 133–134. ISBN   978-0-943233-93-2. Archived from the original on June 2, 2021. Retrieved August 5, 2020.
  17. Crooks, Robert; Baur, Karla (2010). Our Sexuality. Boston, Massachusetts: Cengage Learning. pp. 286–289. ISBN   978-0-495-81294-4. Archived from the original on March 10, 2021. Retrieved August 30, 2012. Noncoital forms of sexual intimacy, which have been called outercourse, can be a viable form of birth control. Outercourse includes all avenues of sexual intimacy other than penile–vaginal intercourse, including kissing, touching, mutual masturbation, and oral and anal sex.
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