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[This is a] phrase used when someone is confused and cannot decide between two choices. It is derived from the conundrum faced by a teenage male who lives in a house with one bathroom and a large family. When you live in a house with lots of people you can only [masturbate] in the privacy of [the bathroom]. You also have limited time because everyone has to use the same bathroom. Hence the dilemma, should I shit or jack off, which everyone told you would cause you to go blind.
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