It can be pleasure. It cam be art. I got mine to complete a tattoo I got on my scar (pubic mound area) from my surgery. It basically comes down to having something else to look at down there.
Actually my piercing can only be removed with special pliers at the piercing shop. 1. the hole can close in just a few minutes withit the jewelry. 2. The barbells have internally threaded jewelry, meaning their designed not to get loose.
The blood on the apadravya was pretty bad. The ampallang didn't bleed all that much

. Bu it did hurt and is still quite sore when it is jostled. Many people get tattoos/piercings after major surgery. I think it is a measure of exercising control: both of the body's appearance and also over pain after years of an uncontrollable painful illness that drastically changed the body.