Eylemi gerçekleştimek için akrobat gibi yüksek derece esnek olmak gerekir.[2][3][4][5] Daha az esneklik gerektiren ve erkeklerin çok azında belgelenen autofellationun aksine güvenilir biçimde belgelenmemiştir.[6] Bununla birlikte, kişilerin kendilerine zarar verdikleri bir fantezi olarak bildirilmiştir.[7] İnsan olmayan primatlarda rastlanmaktadır.[8]
Jesse Bering, "So Close, and Yet So Far Away: The Contorted History of Autofellatio", in Why Is the Penis Shaped Like That?: And Other Reflections on Being Human, New York: Scientific American / Farrar, Straus, Giroux, 2012, 9780374532925, pp. 11–16, p. 16.
Drawing, Art of Love: Nearly 100 Sex Positions and Wealth of Illustrated Material from Foreplay to Anatomy, e-book, Mobilereference.com, 2007, 9781605011172, n.p.
Fear of Being Fat: The Treatment of Anorexia Nervosa and Bulimia, ed. C. Philip Wilson with Charles C. Hogan and Ira L. Mintz, Classical psychoanalysis and its applications, New York: Aronson, 1983, 9780876684801, p. 145.
David J. Linden, The Compass of Pleasure: How Our Brains Make Fatty Foods, Orgasm, Exercise, Marijuana, Generosity, Vodka, Learning, and Gambling Feel so Good, New York: Viking-Penguin, 2011, 9780670022588, n.p.: the example that follows involves water from a garden hose rather than the mouth.
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