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Warning: this story contains disturbing adult themes.
A BBC investigation into the increasingly popular live video chat website Omegle has found what appear to be prepubescent boys explicitly touching themselves in front of strangers.
Omegle links up random people for virtual video and text chats, and claims to be moderated - but has a reputation for unpredictable and shocking content.
Global child protection groups are increasingly concerned about predators using the site to gather self-generated child sexual abuse material.
The founder of the website, Leif K Brooks, told the BBC his site had increased moderation efforts in recent months.
According to new research collected by data analyst Semrush, Omegle grew globally from about 34 million visits a month in January 2020 to 65 million in January 2021.
Interest has spiked particularly in the US, UK, India and Mexico.
In the UK alone, traffic increased by 61%, with 3.7 million visits in December from predominantly people under the age of 34 - many of them teenagers.
On TikTok alone, videos tagged with "Omegle" have been viewed more than 9.4 billion times.
TikTok told the BBC that, as a result of our investigation, it had now banned sharing links to Omegle. The company says its safety teams have not found any harmful Omegle content on its platform but would continue to monitor the videos.
"It's a trend now on TikTok that everyone's doing Omegle, so me and my friends thought we'd go back to it," says 15-year-old Keira from the US on video chat on the site.
"Men being gross is something me and my friends see a lot. It should be better monitored. It's like the dark web but for everyone."
In the last six months, many schools, police forces and government agencies have issued warnings about the site in the UK, US, Norway, France, Canada and Australia.
During the approximately 10 hours that we monitored Omegle, we were paired with dozens of under-18s, and some appeared to be as young as seven or eight.
Omegle's disclaimer states that users should be 18 or over, but there is no age verification process in place.
During just one two-hour period, we were connected at random with 12 masturbating men, eight naked males and seven porn adverts.
There is also the option to find matches based on interests, for example "football" or "movies".
When we inputted one generic keyword relating to adult material, we were paired even more frequently with people engaging in explicit activity.
We were also paired at random twice with what appeared to be young prepubescent boys masturbating live on the video chat.
One of them identified himself as being 14 years old.
These instances were not recorded, and we ended both chats swiftly before reporting them to the authorities.
A spokeswoman from the National Center for Missing and Exploited Children in the US said: "The speed in which you found possible child sexual abuse material should underscore the necessity of age verification on social media platforms."
Mr Brooks, the website's owner, says he has now blocked the use of the keyword, but the BBC has not been able to verify this.
The Internet Watch Foundation (IWF), which is responsible for finding and removing images and videos of child sexual abuse online, said the results of our investigation were troubling but followed a recent trend.
"We have found self-generated abuse material elsewhere on the internet which has been created by predators who have captured and distributed footage from Omegle," said Chris Hughes, hotline director at the foundation.
"Some of the videos we've seen show individuals self-penetrating on webcam, and this type of activity is going on in a household setting often where we know parents are present. There are conversations that you can hear, even children being asked to come down for tea."
In 2020, the IWF said analysts actioned 68,000 reports which were tagged as including "self-generated" child sexual abuse content - a 77% increase on the previous year.
One parent in the UK who we spoke to said her eight-year-old daughter was nearly coerced into sexual activity with an older man on the website.
She told the BBC: "My daughter had seen some videos go viral on TikTok about people being on this Omegle, so she explored this site and there's no log-in or age restrictions or anything.
"These people were saying she was beautiful, hot, sexy. She told them she was only eight years old and they were OK with that. She witnessed a man masturbating and another man wanted to play truth or dare with her.
"He was asking her to shake her bum, take off her top and trousers, which she thankfully did not do."
Julian Knight MP, chairman of the House of Commons Digital, Culture, Media and Sport Select Committee, said the problems on Omegle highlighted a need for more legislation in the UK.
"I'm absolutely appalled. This sort of site has to take its responsibilities seriously. What we need to do is have a series of fines and even potentially business interruption if necessary, which would involve the blocking of websites which offer no protection at all to children."
Over a period of three months, the BBC tried to reach both Omegle and founder Leif K Brooks several times for comment.
There is no way to contact Omegle through its website or elsewhere online.
Mr Brooks has not spoken publicly about Omegle for several years.
After six emails to a separate company he co-founded - Octane AI - he finally responded.
He said his site was moderated and that his team did block users who "appear to be under 13".
He also said in an email that he had expanded monitoring efforts in 2020.
"While perfection may not be possible, Omegle's moderation makes the site significantly cleaner, and has also generated reports that have led to the arrest and prosecution of numerous predators," he said.
He also claimed that the site's porn adverts were age-restricted but would not give details about how that was possible without age verification.
He described these explicit pornographic ads as "discreet" and said showing them was a "classic 'life gives you lemons' situation".
"Omegle isn't intended for prurient interests, and when adults visit Omegle with that intent, it makes sense to direct them somewhere more suitable," he said.
Mr Brooks did not respond to any further questions.
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By Jean Mackenzie
Victoria Derbyshire programme
Girls as young as nine are seeking surgery on their genitals because they are distressed by its appearance, the Victoria Derbyshire show has been told.
Dr Naomi Crouch, a leading adolescent gynaecologist, said she was concerned GPs were referring rising numbers of young girls who wanted an operation.
Labiaplasty, as the surgery is known, involves the lips of the vagina being shortened or reshaped.
The NHS says it should not be carried out on girls before they turn 18.
In 2015-16, more than 200 girls under 18 had labiaplasty on the NHS. More than 150 of the girls were under 15.
Some experts fear that pornography and images viewed through social media are leading young girls to have unrealistic perceptions of how their genitals should look.
Dr Crouch, who chairs the British Society for Paediatric and Adolescent Gynaecology, said in her work for the NHS she was yet to see a girl who needed the operation.
Anna - not her real name - considered having labiaplasty from the age of 14.
"I just picked up from somewhere that it wasn't neat enough or tidy enough and I think I wanted it to be smaller.
"People around me were watching porn and I just had this idea that it should be symmetrical and not sticking out.
"I thought that was what everyone else looked like, because I hadn't seen any normal everyday [images] before then.
"I remember thinking, 'If there's surgery for it, then clearly I'm not the only one who wants this done, and maybe it won't be that big a deal.'."
She later decided not to pursue having an operation.
"I'm totally glad I didn't get it done. I didn't need it. I look totally normal. Completely and utterly normal."
Paquita de Zulueta, a GP for more than 30 years, said it was only in the past few years that girls had started coming to her with concerns over the appearance of their labia.
"I'm seeing young girls around 11, 12, 13 thinking there's something wrong with their vulva - that they're the wrong shape, the wrong size, and really expressing almost disgust.
"Their perception is that the inner lips should be invisible, almost like a Barbie, but the reality is that there is a huge variation. It's very normal for the lips to protrude."
She blames the unrealistic images girls are being exposed to through pornography and social media.
"There isn't enough education and it should start really quite young, explaining that there is a range and that - just as we all look different in our faces - we all look different down there, and that's OK."
NHS England said it did not carry out the operation for cosmetic reasons, only for clinical conditions.
For the past few years clinical commissioning groups have been able to refer only patients who are experiencing physical pain or emotional distress.
But Dr De Zulueta says some girls know they need to overstate their physical symptoms to get the surgery.
"There is awareness that they're more likely to get the operation if they say it's interfering with sex, with sport, they feel that will tick that box."
Dr Crouch believes labiaplasty should be given only to girls who have a medical abnormality.
"I find it very hard to believe there are 150 girls with a medical abnormality which means they needed an operation on their labia," she said.
She added there were uncomfortable parallels between this surgery and female genital mutilation (FGM), which is illegal in the UK.
"The law says we shouldn't perform these operations on developing bodies for cultural reasons. Current Western culture is to have very small lips, tucked inside. I see this as the same thing".
Dr Gail Busby, lead adolescent gynaecologist at St Mary's Hospital, says it is important for girls and their parents to remember:
In adolescence, the labia are still growing - with the inner lips growing first - so it is normal for them to appear prominent. Girls should not compare themselves to adult women
By age 18, the outer lips will have grown. If girls can hold off seeking an operation until adulthood, their genitals' appearance will have changed - removing the initial reason for wanting surgery
Surgery will probably lead to scarring and - as the labia are still developing - could lead to it becoming asymmetrical in adulthood
Do not feel alone. Half the girls in your class will be in the same position, it is a normal part of development - it is just that no-one talks about it openly
If parents wish to allay fears, take your daughter to a GP
In some instances, if there are deeper concerns regarding body image, it may help to create some coping strategies
The majority of labiaplasties are done by private cosmetic surgeons on women over 18.
The industry has been criticised for normalising the procedure.
Plastic surgeon Miles Berry defended the surgery, saying it could improve women's lives.
"It can change people fundamentally, the feelings they have about themselves, their confidence and self-esteem.
"I have seen patients aged between 16 and 21 who have never had a boyfriend because they are so concerned about this."
The Royal College of Obstetricians and Gynaecologists said the operation should not be performed until a girl had finished developing, after the age of 18.
Watch the Victoria Derbyshire programme on weekdays between 09:00 and 11:00 on BBC Two and the BBC News Channel.
The BBC is not responsible for the content of external sites.
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BBC reports from the tarmac in Kabul airport. Video
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© 2021 BBC. The BBC is not responsible for the content of external sites. Read about our approach to external linking.

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Bbc Young Preteen Girls