Love the concept, wish the execution was more showing than telling. Once I caught onto what was happening there was little left to explore. The message is clear but it is only the message. There is nothing substantive to attach that message to. The prose is entirely prescriptive rather than descriptive.
A few lines left me confused. Cotton head didn't seem accurate for suffocating. Slut. Hole. etc. had me confused who I was having sex with exactly. Little things like that took me out of the experience.