Is the Sixty-Nine (Oral) position safe during pregnancy?

The Sixty-Nine (Oral) position may not be ideal during pregnancy due to moderate. Consult your healthcare provider for safe alternatives.

What difficulty level is the Sixty-Nine (Oral) position?

The Sixty-Nine (Oral) is a medium difficulty position. It requires medium flexibility and causes moderate joint stress.

#453 Oral Medium

Sixty-Nine (Oral)

Simultaneous oral pleasure in this classic position.

Medically Reviewed by Dr. James Chen, Board-Certified OB/GYN

Penetration: Shallow

Stimulation: Clitoral

About This Position

The sixty-nine position involves both partners simultaneously performing oral sex on each other while lying head-to-toe in opposite directions. This position allows mutual pleasure at the same time but requires communication about rhythm and pressure to ensure both partners enjoy the experience equally.

Best For

Mutual pleasureSimultaneous orgasmOral intimacy

Clitoral Stimulation

Excellent direct clitoral stimulation from the partner's mouth and tongue.

Easy access with tongue and lips for varied stimulation.

G-Spot Stimulation

Moderate G-spot stimulation possible with finger insertion during oral.

The tongue can target the G-spot with skill and communication.

Anatomy & Physiology

Muscle Groups Involved

Core
Arms
Neck
Hip flexors

Angle of Penetration

Mouth-to-genital, varying angles based on position

Targeted Pleasure Zones

ClitorisPenisLabiaPerineumScrotum

Body Contact Points

Mouth to genitalsThighs around headHands on buttocks

Step-by-Step Guide

Both partners lie on a comfortable surface, positioned head-to-toe so each partner's mouth is near the other's genitals.

Tip: A pillow under the head of the receiving partner improves comfort and angle.

The partner on top positions themselves over the other's face, supporting their weight on their arms and knees to avoid discomfort.

Tip: Don't put full weight on the partner below — use your arms for support.

Begin with gentle kissing, licking, and caressing of the genitals, building intensity gradually.

Tip: Start slow and read your partner's body language for cues about what feels good.

Coordinate rhythm — both partners should sync their movements to maintain comfort and pleasure.

Tip: If one partner is uncomfortable, communicate and adjust position or pause.

Experiment with variations: try the side-lying version where both partners lie on their sides facing opposite directions for a more relaxed experience.

Tip: Side-lying 69 reduces neck and arm strain while maintaining mutual access.

Safety & Precautions

Warnings

! Avoid putting full body weight on the partner below.
! Be mindful of neck strain from holding positions.

Modifications

* Try the side-lying variation for a more relaxed experience.
* Use pillows for support under the hips and head.

Flexibility: Medium Joint Stress: Moderate

Not recommended during pregnancy due to positioning and pressure on the abdomen.

Medical References & Sources

The information on this page has been reviewed for accuracy by certified health professionals. The following peer-reviewed and authoritative sources were used in developing this guide:

Health Disclaimer: Always consult a healthcare professional before trying new positions, especially if you have back pain, joint issues, are pregnant, or have any medical condition. Stop immediately if you experience pain.

Pros

+ Simultaneous pleasure for both partners
+ Great clitoral stimulation
+ Intimate face-to-genital contact

Cons

- Can be tiring for the partner on top
- Difficult to communicate while performing
- May not lead to orgasm for both simultaneously

Tips

* The partner on top should support their weight on arms
* Communicate before starting about preferences
* Try different variations — side-lying 69 is more relaxed

Best Locations

🛏️ Bed 🫋️ Sofa 🛏️ Floor

Common Mistakes to Avoid

Even with the right technique, small errors can reduce pleasure or increase injury risk. Here are the most common mistakes couples make with the Sixty-Nine (Oral) position: