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Ass to mouth abbreviated as ATM or A2M in pornography is a slang term associated with the porn industry describing anal sex immediately followed by oral sex. The term is primarily used to describe a sexual practice whereby an erect penis is removed from a receptive partner's anus and then directly put into their mouth , or possibly the mouth of another. If the recipient of ass-to-mouth is performing fellatio on a penis or object that was removed from their own rectum, the health risks are generally limited to disturbances of the gastrointestinal tract, which may proceed from introducing normal intestinal flora from the rectum to the mouth and upper digestive tract. If the recipient's ano-rectal area is infected with a sexually transmitted disease like gonorrhea , however, there is an added risk of transmitting the infection to that person's mouth or throat. Risk of sexually transmitted infection STI or parasitic transmission exists only if fecal particulate from an infected person is transmitted to the mouth of an uninfected person. Porn industry performers often use enemas before filming anal sex sequences; however, this is primarily to eliminate the possibility of any fecal matter appearing on video rather than disease prevention.

Anal fissures are small tears or cracks on the part of the anus that opens when you pass stools— where the inside of the anus meets the outside. They are associated with pain and bleeding during bowel movements. Most will heal on their own and do not require treatment. In adults they can be caused by passing a large, hard stool, or by having frequent diarrhea. In older adults they may occur due to decreased blood flow to the area.

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See FAQs for details. Most of the time you can stay quiet and treat the problem at home. An itchy anus happens when the skin around the anus becomes irritated.