When it's "that time of the month" and the flow is heavy, so you reach behind yourself and down between your legs to plug it with your thumb, and proceed with anal.
Scott was bleeding so bad from his .50 SLAP round failing, and I didn't have a first aid kit ...so I decided to just give him the Kentucky Plug. I probably should've stopped with just the thumb, but the look on his face when I started unbuttoning my pants was priceless.