Bondage is often combined with other sexual and BDSM techniques. Some couples incorporate elements of bondage into sex lives. Bedroom bondage games can be a form of foreplay. Bedroom bondage is usually mild bondage, with one partner voluntarily being put into restraints by being tied up or cuffed, hogtied or spread-eagled, possibly blindfolded and gagged etc. by the other, who then sexually stimulates the tied partner at will by masturbation, oral sex, a vibrator or intercourse. Bondage can be used for purposes other than sexual foreplay. For example, it may be used in erotic tickling or for sexual teasing.

The tied partner's satisfaction is often indicated by writhing, struggling or vocalizations etc. The free partner may derive erotic pleasure or achieve sexual arousal from being in a dominant situation, while the tied partner may achieve arousal from being in a largely "helpless" position in the hands of a trusted partner. Either way, the partners may be playing out the bondage games to act out their sexual fantasies (not necessarily the same one) and many established couples find the experience relationship-affirming, as they both require and imply a level of trust between them that is not normally found within more casual relationships.

Safety rules followed by couples are trust-based as one partner is tied up. Sex takes place with the previously given consent of this partner. This could take the form of a sex game or rape fantasy enactment.

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