Piercer Elayne Angel stated that of the "very small number of women who genuinely desire a clitoris piercing (rather than the more common clitoral hood piercing), 90 to 95 percent are not suitably built to accommodate jewelry through the clitoral head." The piercee must have a large enough clitoris to prevent migration of the piercing and subsequent loss because a slightly thicker gauge of jewellery is usually used to prevent the 'cheese-cutter' effect if it becomes caught on clothing, or is pulled too hard during sexual activity.