Clients are positioned on all fours, exposing their testicles and back muscles. The therapist uses their fingertips, nails, and the fleshy base of their thumb to perform a full-body massage on these areas. The massage also includes generous use of oil for scrotal stimulation and slow, deliberate squeezing, primarily using reverse hand movements to maximize lubrication. The therapist gently extracts semen without causing pain or damage. Finally, clients are allowed to choose their preferred position to release any built-up semen, which the therapist helps guide out with their fingers. Please note that the content may vary depending on the distribution method.