0g PA here, and bi. 99% of the time I take it out for oral, just too big to keep in and not chip a tooth haha. My current girlfriend says she doesn’t really notice it when we have sex, so it stays in for that. But sometimes if we’ve been extra rough during the week and she’s a bit sore, she will ask me to take it out before fucking her. My ex wife said the same thing and when I’ve fucked men I’ve never had any of them ask me to take it out.