There are 2 stages of this play. First one is choking phase when your partner holds his or her hand in upper part of your neck, compressing jugular veins. This cause hypoxia, which is state characterized by low amount of oxygen reaching your brain...
During this phase you can have blurry vision. Your heart beat faster and stronger and if you have trust in your partner you are relaxed, don't care about anything, almost giving up on life.
Second phase is when your partner release the pressure. At this point mass of oxygen rich blood will reach you brain and you feel extatic. You can also feel disorientated and have weird sensation, like some moments are repeated, or you see reality but can't influence it. When release of presure is done during orgasm you will experience ultimate pleasurable feeling, eventually much stronger orgasm. You should do this only with person you trust. If you intend to be killed during this game, then it doesn't matter who is choking you.
How to do it properly? The most effective is to use hand, both hands, arms or fingers. Rope, belt or random ligature can be dangerous because you can't control strength of pressure as precisely as with hands. Also if you remove belt too late there is risk of brain damage. First you need to find jugular veins on neck. See folowing image. Jugular veins are marked with blue color.
Jugular veins are on both sides of neck, aproximately under the place where your lower jawbone turns up toward the ears. Use both you thumbs or thumb and forefinger to apply pressure to jugular veins. When your partner seems to lose consciosness then release the pressure.
The most important thing is having sex during this procedure :)
Pros: extreme pleasure, feeling compared with using cocaine, new little bit dangerous experience
Cons: risk of brain damage, heart failure or accidental death
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