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Originally phone sex services consisted of a managed network of dispatchers (live or automated) and erotic performers.

Performers would come to a studio where they received a cubicle, coaching, and cash incentives to keep callers on the line longer.

Phone sex conversation may take many forms, including: guided fantasy, sexual sounds, narrated and enacted suggestions; sexual anecdotes and confessions; candid expression of sexual fantasies, feelings, or love, and/or discussion of very personal and sensitive sexual topics.

Software platforms were custom written to handle money collection and transfer, connecting caller and sex worker though neither could see anything but the platform's phone number, and metering the connection.

Details vary significantly from one platform to another, but the provider may be given a personal page on the platform to use however she (sometimes he) wishes.

With the progress of technology it became more practical, convenient, and economical for providers to work out of their homes.

Human dispatchers — female, except for gay male phone sex — answered the advertised phone numbers, processed payment via credit card, chose who of the available performers in the dispatcher's judgment best matched the clients' fantasy (grandma, black girl, college girl, etc.), and connected the client with the provider. Either could hang up, though some services put economic pressure on providers not to do so.

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