The concept of “rough sex” has risen in the past decade, especially in young adults as they begin to explore their sexual self . This likely comes with increasing references in TV shows, movies, porn, books, popular music, and social media. Rough sex can be defined by practices such as hair pulling, biting, spanking, slapping, choking , smothering, and name calling. All of these behaviors are intended to be consensual, non-violent , and a part of sexual activity and foreplay.