Oral sex is less risky than vaginal or anal intercourse. This includes oral, anal, and vaginal sex. Sexual transmission is possible through vaginal, anal, or oral sex. This may occur during sex, including anal and oral sex. Some women also engage in anal masturbation. The infection can be passed through vaginal, anal, or oral sex. This frequently refers to MSMs who are penetrated via the anus during anal sex. Transmission of the organism occurs during vaginal, anal, or oral sex. Strong views are often expressed about anal sex. Engaging in anal sex is still, however, punished in some societies. Tokugawa commentators felt free to illustrate kami engaging in anal sex with each other. The album opens with "Kielbasa", a song discussing anal sex. There are safety matters relating to prostate stimulation and anal penetration. The male has a large pouch of naked skin located at the anal opening. His performance featured tambourine-playing and movements of the buttocks that suggested anal intercourse.