1. Vagina Ass
2. Gay Sex Anus
3. Someone who takes it in the butt... referring mostly to males, but occasionally to females (to be used mostly in a derogatory manner)
4. Someone who is a tool/dick
See that frat guy with the flipped collar and the sideways hat? He's a real cooch butt.
Dude, did you hear that Jeff dumped his girlfriend and became a cooch butt?
Man I knew that girl was freaky, but I never knew she was a cooch butt!
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