Crush pornography features objects being crushed by an actress or actor, who generally plays an overtly dominant role. No causal relationship is known between masturbation and any form of mental or physical disorder. They may regard it as an enhancing element of their sex lives or as their primary form of sexual activity. A woman can use a secondary vibrator, between the dildo and her genitals, to get pleasure from pegging. The actual height of the lesbian milfs giantess within the fantasy may vary depending on the individual. Mutual masturbation, gay hentai mutual manual stimulation of the genitals between partners, can be a substitute for sexual penetration. In POV porn, the shooting style is generally similar to gonzo pornography, with the person receiving sexual gratification holding the camera him or herself—aiming it down at the actress or actor who is performing the sex act. Some prefer a particular type of clothing to urinate. Nevertheless, it is only an attempt at phenomenological differentiation. Sadomasochism refers to the aspects of BDSM surrounding the exchange of physical or emotional pain. These are often fake. In Japanese, the term describes any type of perverse or bizarre sexual desire or act; it does not represent a genre of work. His most famous model was Bettie Page, who became the first celebrity of bondage gay boy porn film and photography. Typically features adult, masculine men with varying degrees of muscle, body fat, and body hair, akin to beefcakes, or bears. They may be noted for using risqué themes, graphic violence, sexuality or black comedy in a manner that is unsuitable for younger audiences. Medical pornography involves sexualized medical, often fake, including gynecological pelvic examinations, rectal examinations, and pelvic or gynecological ultrasounds. Bear features a combination of middle-aged, hairy or overweight males. A study of 164 males in Finland from two SM clubs found that 18.2% had engaged in coprophilia; 3% as a sadist, 6.1% as a masochist, and 9.1% as both. 18% of heterosexuals and 17% of homosexuals in the study pool had tried coprophilia, showing no statistically significant difference between heterosexuals and homosexuals.