I heard the term “outercourse’ for the first time in college. We were in a consultation room and in walks a resident to discuss a case with the prof. He says “sir patient has done outercourse and wants to take ipill”.
The prof gave him a lecture about how you don’t have to discuss every case and anyone who asks for contraception should just be given contraception.
Then when he looked at us and our puzzled faces, he explained what it meant, and then a comment on many things. “All these kids claims to have only done outercourse, but so many become pregnant, must be indian fertility”.