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You are sperm. Sperm is what fertilizes the egg, creating you. When people say this, they're saying [your mother] should have instead given head, and swallowed the sperm which was cummed in her mouth, instead of having [regular sex], and having you. [You are that] sperm, so if she would have swallowed the sperm, she would have swallowed you. It's basically like saying your dad should have had sex with a condom...if someone tells you this, they're calling you a mistake, and looking down on you as a useless lifeform. It's actually a very clever line if used as an insult.
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