Mammary intercourse involves the man placing his erect penis in the woman's cleavage and thrusting between her breasts, while the breasts are squeezed around the penile shaft, thus creating a tight cleft for stimulation. The act may be carried out face to face, or head to tail, with the woman recommended to be on top if she has smaller breasts.
Mammary intercourse is said by Alex Comfort to produce mutual orgasm in women with sensitive breasts (what Margot Anand terms local orgasms of the breast), and it was one of the nine substitute exercises for penetrative sexual activities, as detailed in the Paradis Charnels of 1903. It can be combined with fellatio and the woman may move her breasts up and down on the penis for an additional stimulation, usually before the man reaches orgasm.
Since mammary intercourse is a non-penetrative sex act, the risk of passing a sexually transmitted infection (STI) that requires direct contact between the mucous membranes and pre-ejaculate or semen is greatly reduced. HIV is among the infections that require such direct contact and is therefore very unlikely to be transmitted via mammary intercourse. A study of the condom usage habits of New Zealand's sex workers said that they offered various safe sex alternatives to vaginal sex to clients who refused to wear a condom. One sex worker said that mammary intercourse was one alternative used; mammary intercourse performed by a woman with large breasts felt to the client like penetrative vaginal sex.
Mammary intercourse has sometimes been considered a perversion. Freud, however, considered such extensions of sexual interest to fall within the range of the normal, unless marked out by exclusivity (i.e. the repudiation of all other forms of sexual contact).
Mammary intercourse is known as titty-fucking, titfuck, or a titjob in the United States, as well as tit wank or French fuck in the United Kingdom - the latter term dating back to the 1930s; while a more jocular equivalent is a trip down mammary lane.
- Alex Comfort, The Joy of Sex (1972) p. 67-9
- Alex Comfort, The Joy of Sex (1972) p. 69
- Alex Comfort, The Joy of Sex (1972) p. 69 and p. 175
- Margo Ananad, The Art of Sexual Ecstasy (1990) p. 309
- Alex Comfort, The Joy of Sex (1972) p. 176
- Kelly, Jeffrey A. (October 1995). "Advances in HIV/AIDS education and prevention". Family Relationship 44 (4): 345–352. doi:10.2307/584989. ISSN 0197-6664.
- Woods, 1996, in Davis, pages 125-127
- Clifford Allen, A Textbook of Psychosexual Disorders (1969) p. 200
- Sigmund Freud, On Sexuality (PFL 7) p. 65 and p. 75
- Godson, page 96.
- M. S. Morton, The Lover's Tongue (2003) p. 187
- Bacarr, 2004, p. 150.
- Constantine, 1992, p. 110.
- Bacarr, Jina (2004). The Japanese art of sex: how to tease, seduce, & pleasure the samurai in your bedroom (illustrated ed.). Stone Bridge Press. p. 150. ISBN 1-880656-84-1.
- Constantine, Peter (1992). Japanese street slang. Tengu Books. p. 110. ISBN 0-8348-0250-3. "One of the more hazardous oppai [Japanese slang word meaning 'breast'] concoctions is the red-light-district expression paizuri, literally 'breast-urbation'."
- Godson, Suzi (2002). The Sex Book. Cassell Illustrated, London. ISBN 0-304-35991-2.
- Masters, William H. and Johnson, Virginia E. (1966). Human Sexual Response. No. ISBN 0-316-54987-8.
- Viz (2005). Roger's Profanisaurus Rex: The Ultimate Swearing Dictionary. Viz. ISBN 0-7522-2812-9.
- Austen Woods (1996). "Safe sex and parlour work: condom use by women parlour workers in and out of work". In Peter Davis. Intimate Details & Vital Statistics: AIDS, Sexuality and the Social Order in New Zealand. Auckland University Press. pp. 125–127. ISBN 1-86940-139-5.