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We do it pretty often. Have never had a problem with finding it awkward or uncomfortable to be honest, and I don't think he has either. And I wouldn't say it isn't as good as normal. If anything, it encourages me to be more enthusiastic as I'm feeling, er, happier. :razz:
There is the downside of the lack of eye contact, though.
There's only no eye contact if you're doing it wrong;)