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This is entirely dependent on anatomy, and thus can not be answered very simply. It would be best to consult with a skilled piercer with some experience with both if you are seeking to have them. Many women are not suited to a horizontal hood due to space between the thighs and the formation of the labia. Some are not suited to a vertical hood due to lack of space under the hood its self for the jewelry. So it stands to reason that being able to have both simultaneously would be pretty rare, though I am sure there are a few women with the anatomy for such a thing.

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Q: Can you have a horizontal and a vertical hood piercing at the same time?
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