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Pretty much it means his trying to get him pregnant but knotted him mean he'll be stuck to him for couple of minutes or maybe even hours to ensure he gets pregnant until the swelling of the knot goes down on its own :o like how dogs do it to get the female pregnant. But who know if he'll get pregnant since he took the pills but since his a receding Omega he may or may not get pregnant. Until next time on Love Shuttle *Dragon Ball Z narrator voice*
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Knotting is when the base of the penis swells Preventing it from leaving the "female's" body, it's to insure that the Sperm goes to the uterus Ensuring pregnancy. It happens in most canies. Dogs wolves, dingos. It's not a human thing but this is an omega Verse story thus they have animal like traits.
HE KNOTTED HIM OMG. JESUS GOD JUST THINK ABOUT THIS WHOLE SITUATION IF DOYUN DIDNT TAKE HIS PILLS... IT WOULD BE A MESS, A HORNY MESS.