On the other hand, the masochist enjoys being hurt, humiliated, or suffering within the consensual scenario. Following the introduction of the Motion Picture Association of America film rating system, independent animation producers attempted to establish an alternative to mainstream animation. Medical pornography involves sexualized medical, often fake, including gynecological pelvic examinations, rectal examinations, and pelvic or gynecological ultrasounds. Felching is a sexual practice involving the act of orally sucking semen out of the vagina or anus of one partner. A bisexual threesome may involve a man having sex with a man and a woman, the woman having sex with a man and a woman, or all three having sex with each other. Some are aroused from wetting their diapers, others like messing their diapers. Diaper fetishism is totally independent from pedophilia as the wearer derives pleasure only from the diaper and/or use of it. 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. The most common male masturbation technique is simply to hold the penis with a loose fist and then to move the hand up and down the shaft. While wearing diapers, a diaper fetishist generally experiences a comforting feeling. No causal relationship is known between masturbation and any form of mental or physical disorder. As women, they face concerns separate gay boy porn from men. Rimjob pornography centers around anilingus. Some anthropologists and sociobiologists believe that breast fetishism derives from the breasts similarity to buttocks, but instead provide sexual attraction from the front of the body. The primary subjects of pornographic depictions are pornographic models, who pose for still photographs, and pornographic actors or porn stars, who perform in pornographic films. Mammary intercourse has sometimes been considered naked milf a perversion.