Even if you take all proper precautions, you may still experience some side effects.
People who are into breath play say it can heighten sexual arousal and make orgasms more intense.
One way to do this is for one partner the dom to order the other the sub to breathe in certain patterns, such as very quickly—about three times a second—or very slowly and deeply.
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Releasing the strangle hold can cause an intense rush of blood, then euphoric sensations like disorientation and loss of focus.