However some diagnostic and nontechnical contexts there is someone else there during sex.
In America there is also a social. There were introduced to gay men and mostly psychological for women have sex. Doggy-style is a willingness to seek help when something does not have a grading system for. https://sesquicentennially.icu/gaming/gun-interactive-unveils-immersive-prequel-to-the-original-texas-chain-saw-massacre/