Usually said as an exclamation, CIMA can also be used when penetration occurs within either a male/female or male/male, through the anus and using the penis respectively.
"Cock in my ass you scared the living titty fuck out of me, Josh!"
"My bad."
or; "Oh yeah, oh yeah get that big fat cock in my ass ohhhh YES, yes, harder, harder, oh yes, oh harder, ohhh FUCK ME, etc."
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