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The Joker as used in [sexual reference]: The act of removing a tampon at the string by mouth from a womans vagina while on her period. Once removed, the [bloody tampon] is swung [back and forth] by the string "while still in the teeth" as if shaking your head "no." The blood like smile/outline from ear to ear that is left behind is know as "The Joker." (Similar to the make-up smile on the Joker)
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