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Planned Parenthood is trying to normalize erotic practices and roleplaying that involve BDSM - bondage, discipline, dominance and submission, sadomasochism, and other related interpersonal dynamics - in a tweet featuring a whip, handcuffs, and more.
The organization has a focus on teens who are "looking for info on sex, relationships, your body, and more", so reasonable people are left wondering who the target is for this BDSM message.