Semen ingestion has had central importance in some cultures around the world. In Baruya culture, there is a secret ritual in which boys give fellatio to young males and drink their semen, to "re-engender themselves before marriage". Among the Sambia people of Papua New Guinea, beginning at age seven all males regularly submit to oral penetration by adolescents in a six-stage initiation process, as the Sambia believe that regular ingestion of an older boy's semen is necessary for a prepubescent youth to achieve sexual maturity and masculinity. By the time he enters mid-puberty he in turn participates in passing his semen on to younger males.
Nancy Friday's book, Men in Love – Men's Sexual Fantasies: The Triumph of Love over Rage, suggests that swallowing semen is high on a man's intimacy scale. The man receiving fellatio receives direct sexual stimulation, while his partner may derive satisfaction from giving him pleasure. Giving and receiving fellatio may happen simultaneously in sex positions like 69 and daisy chain.