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Anilingus

Anilingus, also known as rimming or analingus, is a sexual practice involving oral stimulation of the anus and perianal region using the tongue, lips, or mouth.^[1]^[2]^[3] This act, classified as a form of oral-anal sex, can be performed by individuals of any gender or sexual orientation as part of intimate activities.^[2]^[1] The practice is reported among diverse populations, with studies indicating that approximately one-fifth or more of heterosexual adults have engaged in rimming in the past year.^[4] Among men who have sex with men (MSM), rimming is a common behavior, with research linking it to sexual health considerations in this group.^[5]^[6] While anilingus can provide pleasurable sensations due to the sensitivity of the anal area, it carries notable health risks primarily related to infection transmission.^[2] Sexually transmitted infections (STIs) and other infections can be spread through oral-anal contact.^[3]^[7] For example, hepatitis A, bacterial infections like Escherichia coli (E. coli), and parasitic infections such as giardia are possible via the fecal-oral route, particularly if hygiene is inadequate.^[2]^[1]^[7] Poor oral health, including cuts or bleeding gums, can heighten these risks by facilitating pathogen entry.^[8] To mitigate risks, thorough cleaning of the anal area with soap and water prior to engagement is recommended, along with the use of barriers like dental dams to prevent direct contact.^[1]^[2] Regular STI testing for all partners and vaccination against preventable infections like HPV and hepatitis A are advised for those who practice anilingus.^[7]^[1] Consent, communication, and mutual comfort remain essential to ensure a safe and positive experience.^[3]

Definition and Terminology

Definition

Anilingus, also known as rimming or analingus, is a form of oral sex involving the stimulation of a person's anus using the tongue, lips, or mouth, typically for sexual pleasure.^[2]^[3]^[1] This act focuses on the external and surrounding areas of the anus, distinguishing it from penetrative anal sex, which involves insertion of a penis, finger, or sex toy into the anus.^[2]^[3] Unlike non-sexual contexts such as medical examinations (e.g., anoscopy or digital rectal exams), anilingus is performed consensually between partners seeking erotic gratification.^[1] The sensitivity of the anal region arises from a high concentration of nerve endings in the perianal skin and the anal canal, innervated primarily by the pudendal nerve, which transmits sensory signals from the anus and genitals to the brain.^[9]^[10] The perianal skin contains somatic nerve endings responsive to touch and pressure, while the internal anal sphincter contributes to sensations through its muscular and neural structure, enhancing potential pleasure during stimulation.^[11]^[12] These nerve endings can produce intense erotic responses when stimulated appropriately.^[10]^[13] As with all sexual activities, anilingus requires explicit, affirmative consent from all participants to ensure mutual enjoyment and respect boundaries.^[14] Consent must be ongoing, enthusiastic, and revocable at any time, forming the foundation for safe and pleasurable experiences.^[14]

Etymology

The term anilingus derives from the Latin ānus, meaning "ring" or "circle" and referring to the anatomical structure of the anus, combined with the suffix -lingus, from the verb lingere, meaning "to lick." This construction parallels the formation of cunnilingus, adapting the pattern to describe oral stimulation of the anus.^[15] The word was coined in German as Anilingus by the psychiatrist and sexologist Richard von Krafft-Ebing in his seminal 1886 work Psychopathia Sexualis, where it first appeared in medical and forensic discussions of sexual practices. It entered English usage in 1899 through F. J. Rebman's translation of Krafft-Ebing's text, marking its adoption in Anglophone sexological literature. The term subsequently evolved within early 20th-century English sexology, appearing in clinical and psychoanalytic writings that built on Krafft-Ebing's foundational taxonomy of sexual behaviors.^[16] Related terms in other languages follow analogous etymologies, such as the French anulingus, modeled directly on Latin anus and lingere in imitation of cunnilingus, and the German Anilingus, retaining the original coining.^[17]

Slang Terms

Common slang terms for anilingus include "rimming," which refers to the act of orally stimulating the anus and emerged in English slang during the 1970s, evoking the circular motion of the tongue around the "ring" of the anus derived from the Latin root for the term.^[18] "Rim job" is a related variant, with the earliest recorded use in 1969 according to the Oxford English Dictionary. "Eating ass" is a more direct and vulgar expression that gained prominence in the 2000s, particularly in American English.^[19] "Tossing the salad," originating in 1970s San Francisco gay slang with the first known print use in 1972, implies a preparatory or appetizing act akin to mixing ingredients.^[18]^[20] Regional variations reflect local linguistic preferences, such as "arse-licking" in British English, a taboo term emphasizing the direct action.^[21] In Australia, "rimming out" or playful phrases like "going down under" are used, tying into national idioms for anal focus.^[18]^[22] Urban American slang includes niche terms like "buttered bagel," evoking lubrication and shape, though less widespread.^[18] The evolution of these terms accelerated in the late 20th century, particularly through LGBTQ+ communities and pornography, where references grew from about 21 euphemisms by the mid-20th century to over 50 by the 2000s, reflecting destigmatization in sexual discourse.^[18] This rise paralleled broader acceptance in media, with slang like "rimming" becoming commonplace in adult films by the 1990s.^[23] In educational and clinical contexts, the formal term "anilingus"—derived from Latin "anus" and "lingere" (to lick)—serves as a non-offensive alternative to promote destigmatization and accurate discussion.^[2]^[1]

Historical and Cultural Context

Historical References

Anilingus has been referenced in ancient Roman sources through graffiti discovered in Pompeii, dating to the 1st century CE. In medieval and Renaissance literature, anilingus receives subtle treatment amid erotic narratives. Similarly, variants of the Indian Kama Sutra (circa 3rd–4th century CE, with later commentaries) describe anal positions like purushayita.^[24] Non-Western historical records include depictions in Japanese shunga prints from the Edo period (1603–1868 CE), where anilingus features in woodblock erotica by masters like Kawanabe Kyōsai. For instance, a print shows an aristocratic man performing oral stimulation on his wife's anus during intimate veranda encounters, portraying it as a refined sensual act within marital or courtesan contexts. Ancient Chinese erotic art from the Ming dynasty (1368–1644 CE), such as album leaves in Jou Pu Tuan illustrations, amid bedchamber scenes, emphasizing harmony in yang-yin exchanges per Daoist sexual cultivation texts.^[25]^[26] By the 19th and 20th centuries, anilingus entered scientific discourse through sexology. Havelock Ellis, in his Studies in the Psychology of Sex (1897–1928), analyzed it as a variant of oral erotism, noting its occurrence across cultures without moral judgment and linking it to sensory pleasure in case studies of diverse sexual behaviors. Alfred Kinsey's reports quantified prevalence, establishing empirical baselines for modern understanding.^[27]^[28]

Cultural Depictions

Anilingus has appeared in pornographic films since the 1970s, with early examples in underground and experimental adult cinema exploring diverse sexual practices, though it remained relatively niche until broader mainstreaming in the industry during the 2000s through increased production and recognition in adult film awards.^[29] By the 2010s, studies of pornographic content indicated that anal-oral acts like anilingus were featured in a growing proportion of scenes, reflecting shifting viewer interests and production trends.^[30] In literature and film, anilingus is depicted as part of intimate queer experiences, often highlighting emotional vulnerability and sexual experimentation. For instance, the 2006 independent film Shortbus, directed by John Cameron Mitchell, includes explicit, unsimulated rimming scenes within group sex sequences, portraying it as an element of liberated, polyamorous dynamics among LGBTQ+ characters in post-9/11 New York.^[31] These representations challenge conventional boundaries, integrating anilingus into narratives of self-discovery and community.^[32] Societal attitudes toward anilingus have evolved through sex-positive movements, particularly in Western LGBTQ+ communities during the 2010s, where media portrayals and discussions normalized it as a consensual act, reducing associated stigma and framing it within broader acceptance of diverse pleasures.^[23] Surveys from this period show increased participation rates, with around 24% of respondents reporting performing anilingus, linked to cultural shifts emphasizing body positivity and erotic exploration.^[33] In contrast, conservative cultures often maintain strong taboos, viewing anilingus as impure or dishonorable due to religious and social norms that prioritize modesty and procreative sex.^[34] Globally, depictions vary by cultural context; in Western media, anilingus appears in progressive queer films and literature, while in Eastern contexts like Japanese hentai, it is commonly illustrated in explicit anime pornography as a standard element of fantastical sexual scenarios.^[35] Brazilian Carnaval culture, known for its exuberant sexual expression, fosters an environment of temporary liberation where intimate acts including anilingus may occur privately amid public revelry, though public documentation remains limited to broader themes of eroticism.^[36]

Practice and Techniques

Common Practices

Anilingus, commonly known as rimming, is typically performed as part of foreplay or as a standalone sexual act in consensual encounters among adults of various sexual orientations, including heterosexual, homosexual, and bisexual partnerships.^[2] It involves the use of the tongue, lips, or mouth to stimulate the anus and surrounding perianal area, often enhancing arousal through the region's dense nerve endings. In heterosexual contexts, it may complement vaginal or penile stimulation, while in homosexual male encounters, it frequently accompanies other forms of anal play; similarly, it occurs in lesbian relationships as a means of mutual pleasure.^[1] Solo practice of anilingus is less common due to physical limitations but can involve flexible positioning or the use of mirrors and toys for self-stimulation of the anal area.^[2] Preparation for anilingus emphasizes hygiene to ensure comfort and reduce potential discomfort, with participants often showering thoroughly and gently washing the anal area with mild soap and water prior to engagement.^[1] Some individuals opt for an enema or light douching with plain water to cleanse the rectum internally, though this is not always necessary and should be done cautiously to avoid irritation.^[3] Lubrication plays a key role in enhancing sensation and preventing dryness, particularly when tongue penetration is involved; water-based or flavored lubricants are recommended for their compatibility with oral contact.^[2] Partner dynamics in anilingus center on clear communication to establish boundaries and preferences, as the act's intensity can vary based on the recipient's sensitivity to anal stimulation.^[1] Enthusiastic consent must be obtained beforehand and reaffirmed during the activity, with partners discussing comfort levels, safe words, and any adjustments needed to maintain mutual enjoyment.^[3] The giver often starts with gentle licking around the anus before progressing to more direct contact, adapting to feedback to avoid overstimulation.^[2] Surveys indicate that anilingus is practiced by 10-25% of adults, with prevalence varying by demographic; for instance, Kinsey-inspired studies from the mid-20th century reported rates around 10-15% lifetime engagement, while 21st-century data from the National Survey of Sexual Health and Behavior (NSSHB) and similar efforts show 20-30% of heterosexual adults having engaged in oral-anal contact at some point. A 2021 Australian population survey found that 25.5% of heterosexual males and 9.3% of females reported performing rimming in the past three months, highlighting its integration into contemporary sexual repertoires.^[37]

Variations and Positions

Anilingus can involve a variety of tongue techniques to stimulate the anus and surrounding areas, such as circular motions with the tongue tip to build arousal gradually, flat-tongued licking across the perineum and anus for broader sensation, or gentle probing by pressing the tongue against or slightly into the opening.^[38] Additional sensory elements include using warm breath to tease the area or humming to create vibrations against the skin.^[39] These methods allow the giver to vary pressure and speed based on the recipient's feedback, enhancing pleasure through rhythmic patterns.^[38] Common positions facilitate access and comfort during anilingus, with the recipient often on all fours in a doggy-style setup, allowing the giver to kneel or stand behind for direct stimulation.^[40] Alternatively, the recipient may lie face-down on a bed or surface, with the giver positioned alongside or straddling their legs, providing a relaxed angle for prolonged sessions.^[41] A 69 variant adapts mutual oral stimulation, where partners face opposite directions, enabling simultaneous anilingus and genital play while lying side-by-side or with one on top.^[39] Variations often incorporate anilingus with other sexual acts, such as using hands for fingering the vagina or anus, stroking the penis, or rubbing the clitoris to intensify overall arousal.^[38] Tools like vibrators designed to mimic tongue movements can extend stimulation when oral contact pauses, or be used alongside for combined sensations.^[39] Adaptations for different body types or abilities include seated positions, such as the recipient on the edge of a bed with the giver kneeling, which accommodates varying heights and reduces strain.^[41] For accessibility, propping hips with pillows or using supportive furniture like a queening chair allows adjustments for mobility limitations while maintaining comfort.^[40] Standing variations, with the recipient leaning against a wall and the giver behind, suit those preferring upright engagement.^[40]

Health and Safety

Associated Risks

Anilingus, involving oral contact with the anus, poses significant infectious risks primarily through the fecal-oral route, as fecal matter can harbor pathogens even in individuals who maintain good hygiene. Bacteria such as Escherichia coli (E. coli), Shigella, and Salmonella can be transmitted from the anus to the mouth, potentially causing gastrointestinal infections like diarrhea, abdominal cramps, and vomiting.^[7] Parasites, including Giardia lamblia, are also transmissible via this route, leading to giardiasis, which manifests as persistent watery diarrhea and fatigue.^[7] Viral infections such as hepatitis A can spread through anilingus via the fecal-oral route, causing acute liver inflammation and jaundice. Hepatitis B transmission is possible if infected blood or other body fluids are present, potentially leading to chronic liver disease if untreated.^[7] Among sexually transmitted infections (STIs), anilingus carries a high risk for human papillomavirus (HPV) transmission, particularly anal HPV strains that can infect the oral cavity. Studies among men who have sex with men (MSM) have identified receptive rimming (anilingus) as a significant risk factor for prevalent oral high-risk HPV infection, with higher numbers of rimming partners correlating to increased odds (adjusted odds ratio up to 3.0).^[42] Anal HPV infection via this practice can result in genital warts or, over time, contribute to anal cancer development, especially with persistent high-risk types like HPV-16 and HPV-18.^[43] Herpes simplex virus (HSV), both type 1 and 2, can transmit through skin-to-skin contact during anilingus, potentially causing oral or anal sores and recurrent outbreaks.^[7] The risk of HIV transmission is considered very low during anilingus, with no documented cases solely from this activity, though it may increase slightly if anal fissures, hemorrhoids, or blood are present, allowing exposure to infected fluids.^[44]^[45] In positions involving facesitting, where the receiving partner sits on the giver's face, there is a risk of asphyxiation due to restricted airflow, especially if the receiver's weight shifts unexpectedly or communication lapses occur.^[46] Immunocompromised individuals, such as those with HIV or undergoing immunosuppressive therapy, face heightened risks from anilingus-related infections. For instance, anal HPV acquired through rimming is more likely to progress to severe outcomes like anal intraepithelial neoplasia or cancer in this population due to impaired immune clearance of the virus.^[47] Bacterial and parasitic infections may also result in more prolonged or severe illness, exacerbating overall health vulnerabilities.^[47]

Prevention Measures

To minimize health risks associated with anilingus, thorough hygiene practices are essential prior to engaging in the activity. Individuals should wash the anal area externally with soap and water to reduce bacterial load, and avoid anilingus immediately following a bowel movement or during episodes of gastrointestinal upset such as diarrhea.^[1]^[2] The use of barrier methods, such as dental dams—thin sheets of latex or polyurethane placed over the anus—during oral-anal contact significantly lowers the transmission of sexually transmitted infections (STIs) and other pathogens by creating a physical barrier.^[7]^[48] If transitioning between anal and genital contact, a new barrier must be used each time to prevent cross-contamination.^[1] Medical interventions play a key role in prevention. Vaccination against human papillomavirus (HPV) is recommended routinely through age 26 years, with shared clinical decision-making for ages 27-45, particularly for those engaging in anal receptive practices, as it prevents infection with high-risk HPV types that can lead to anal precancerous lesions and cancer; studies show over 90% efficacy against vaccine-targeted anal HPV infections in young adults.^[49]^[50] The hepatitis A vaccine is highly effective (>95% seroconversion in adults) for preventing fecal-oral transmission, which can occur during anilingus, and is advised for sexually active adults, especially men who have sex with men (MSM).^[51]^[52] Regular STI screening, including tests for gonorrhea, chlamydia, and syphilis via anal swabs or urine, is recommended at least annually for sexually active individuals, or more frequently (every 3-6 months) for those with multiple partners or in high-prevalence groups.^[53] For HIV high-risk pairs, pre-exposure prophylaxis (PrEP) can further reduce potential transmission risks during intimate contact. Behavioral strategies enhance safety. Partners should abstain from anilingus if either has active symptoms of illness, such as sores, bleeding, or infection in the oral or anal area, and incorporate open discussions about sexual health history and testing status.^[54] After the activity, rinsing the mouth with an antiseptic mouthwash may help reduce residual bacterial exposure, though it is not a substitute for barriers or vaccination.^[55] Comprehensive safe sex education, emphasizing consistent barrier use and vaccination, promotes informed decision-making. Recent guidelines from health authorities underscore these measures. The Centers for Disease Control and Prevention (CDC) in 2024 emphasizes barrier methods like dental dams for all oral sex, including oral-anal contact, to curb STI spread.^[7] Similarly, the World Health Organization (WHO) in 2025 recommends condoms or barriers for oral and anal sex alongside vaccinations for HPV and hepatitis A to prevent viral STIs in at-risk populations.^[56]

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