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In sexuality, this is someone who wants to take the/a lead during sex with a partner or partners, or to consensually take the role of being in charge of sexual actions.
When a person is polyamorous or wants polyamory/ethical non-monogamy as their framework for intimate relationships, but is themselves independent, not part of a nesting or other established couple.
Someone who experiences dysphoria, a sense of discomfort and tension with their bodies that can be quite extreme.
When sexual partners masturbate together. Sometimes people also use “mutual masturbation” to mean manual sex (fingering or handjobs) done at the same time.